Healthcare Provider Details

I. General information

NPI: 1891821039
Provider Name (Legal Business Name): VISION ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2007
Last Update Date: 03/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1437 N WEBB RD
GRAND ISLAND NE
68803-2313
US

IV. Provider business mailing address

1437 N WEBB RD
GRAND ISLAND NE
68803-2313
US

V. Phone/Fax

Practice location:
  • Phone: 308-382-9205
  • Fax: 308-382-3414
Mailing address:
  • Phone: 308-382-9205
  • Fax: 308-382-3414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID W KOVAR
Title or Position: PRESIDENT
Credential:
Phone: 302-382-9205