MEDICARE: DESIGN FOR VISION 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	156FX1800X	Optician

General Provider Information

NPI Number	:	1801923453
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESIGN FOR VISION INC.

Provider Business Mailing Address
First Line	:	1409 E LINCOLN HWY
Second Line	:
City	:	LEVITTOWN
State	:	PA
Zip	:	19056
Country	:	US
Telephone Number	:	215-945-8820
Fax Number	:	215-945-1425

Provider Business Practice Location Address
First Line	:	1409 LINCOLN HWY
Second Line	:
City	:	LEVITTOWN
State	:	PA
Zip	:	19056-1137
Country	:	US
Telephone Number	:	215-945-8820
Fax Number	:	215-945-1425

Authorized Official
Title or Position	:	PRES
Name	:	MR. DONALD R MANNING JR.
Credential	:
Telephone Number	:	215-295-9000

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	09/11/2013

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