Organization
NATIONWIDE VISION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH PRAVOOT GIRA MD (CHIEF MEDICAL OFFICER)
(314) 909-0633
Entity
Organization
Contact information
Practice address
2376 E IRLO BRONSON MEMORIAL HIGHWAY, KISSIMMEE, FL 34744
(407) 847-0057
Mailing address
955 W SOUTHERN AVE STE 101, MESA, AZ 85210-4903
(480) 961-1865
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
04/20/2018
Last updated
12/21/2022
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