Healthcare Provider Details

I. General information

NPI: 1285793950
Provider Name (Legal Business Name): VISUAL OPTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 02/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2640 ZUCK ROAD
ERIE PA
16506-3151
US

IV. Provider business mailing address

2640 ZUCK ROAD
ERIE PA
16506-3151
US

V. Phone/Fax

Practice location:
  • Phone: 814-835-2020
  • Fax: 814-835-7776
Mailing address:
  • Phone: 814-835-2020
  • Fax: 814-835-7776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number027785E
License Number StatePA

VIII. Authorized Official

Name: DR. HOWARD M LEVIN
Title or Position: OPHTHALMOLOGIST
Credential: MD
Phone: 814-835-2020