Organization
IMPERIAL VISION
Active
Other names
Imperial Vision USA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO LEMONT JONES (PRESIDENT/CEO)
(267) 625-3379
Entity
Organization
Contact information
Practice address
3964 NORTH SMEDLEY ST., APT C, PHILADELPHIA, PA 19140
(267) 625-3379
Mailing address
3964 N SMEDLEY ST, APT C, PHILADELPHIA, PA 19140-3421
(267) 625-3379
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
000000001
PA
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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