MEDICARE: VIZION ONE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1326592379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIZION ONE INC

Provider Business Mailing Address
First Line	:	1977 J N PEASE PL
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-4508
Country	:	US
Telephone Number	:	202-725-0768
Fax Number	:	980-201-9250

Provider Business Practice Location Address
First Line	:	1977 J N PEASE PL
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-4508
Country	:	US
Telephone Number	:	202-725-0768
Fax Number	:	980-201-9250

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	VENESIA KITWARA
Credential	:
Telephone Number	:	202-725-0768

Provider Enumeration Date	:	08/08/2016
Last Update Date	:	08/08/2016

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Directions to “VIZION ONE INC ” Practice Location

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