NPI 1144694852

Imperial Vision

Organisation Eyewear Supplier Philadelphia, PA

Practice location

Address: 3964 North Smedley St. APT C, Philadelphia, PA 19140
Phone: (267) 625-3379
Mailing address: 3964 N Smedley St APT C, Philadelphia, PA 19140-3421

Authorised official

Name: Antonio Lemont Jones
Title: President/Ceo
Phone: (267) 625-3379

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 000000001 (PA)

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Registry record

NPI: 1144694852
Entity type: Organization
NPI issued: 18 Nov 2015
Record last updated: 18 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.