Organization
NOVIS CORPORATION
Active
Other names
Round Medical Supply & Uniforms
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY VAYSBERG CPED (PRESIDENT)
(415) 440-0444
Entity
Organization
Contact information
Practice address
1712 DIVISADERO ST, SAN FRANCISCO, CA 94115-3012
(415) 440-0444
(415) 440-0441
Mailing address
1712 DIVISADERO ST, SAN FRANCISCO, CA 94115-3012
(415) 440-0444
(415) 440-0441
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
1433
MN
335E00000X
Prosthetic/Orthotic Supplier
Primary
C17444
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME03317F
—
CA
Enumeration date
11/30/2005
Last updated
09/11/2025
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