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General NPI Number Information
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NPI Number | 1639316532
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Entity Type | Organization
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Legal Business Name | VISIONE INC
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Dates
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Enumeration Date | 01/14/2009
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Last Update Date | 01/14/2009
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Provider Practice Location Address
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Address Line | 431 POST RD E
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City | WESTPORT
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State | CT
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Zip | 06880-4446
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Country | US
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Telephone | 203-454-5558
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Fax | 203-227-8240
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Provider Business Mailing Address
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Address Line | 431 POST RD E
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City | WESTPORT
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State | CT
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Zip | 06880-4446
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Country | US
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Telephone | 203-454-5558
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Fax | 203-227-8240
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTON RAO
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Credential | OD
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Telephone | 203-454-5558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2275
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License Number State | CT
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