Healthcare Provider Details

I. General information

NPI: 1326641713
Provider Name (Legal Business Name): VISION ACCENT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2020
Last Update Date: 04/16/2024
Certification Date: 04/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 12TH ST STE A
HOOD RIVER OR
97031-9005
US

IV. Provider business mailing address

5961 S LOS ALTOS PKWY STE 101
SPARKS NV
89436-2501
US

V. Phone/Fax

Practice location:
  • Phone: 541-386-1700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: TODD MICHAEL SHELDON
Title or Position: OWNER
Credential:
Phone: 541-548-2488