MEDICARE: GLOBAL VISION SOURCES INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	152W00000X	Optometrist
2	152WC0802X	Corneal and Contact Management Optometrist
3	152WP0200X	Pediatric Optometrist
4	152WS0006X	Sports Vision Optometrist
5	152WV0400X	Vision Therapy Optometrist
6	152WX0102X	Occupational Vision Optometrist
7	156F00000X	Technician/Technologist
8	156FX1900X	Orthoptist
9	251E00000X	Home Health Agency
10	152WL0500X	Low Vision Rehabilitation Optometrist

General Provider Information

NPI Number	:	1427437920
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL VISION SOURCES INC.

Provider Business Mailing Address
First Line	:	7500 E DEER VALLEY RD
Second Line	:	UNIT 155
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-4814
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7500 E DEER VALLEY RD
Second Line	:	UNIT 155
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-4814
Country	:	US
Telephone Number	:	202-341-1240
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT CEO
Name	:	EMMANUELLA OFFOHA
Credential	:
Telephone Number	:	301-356-2656

Provider Enumeration Date	:	05/29/2015
Last Update Date	:	04/21/2017

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Directions to “GLOBAL VISION SOURCES INC. ” Practice Location

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