Provider Demographics
NPI:1144911934
Name:BRIGHT VISION HEALTHCARE LLC
Entity type:Organization
Organization Name:BRIGHT VISION HEALTHCARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SILAS
Authorized Official - Middle Name:
Authorized Official - Last Name:WAINDIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-304-0541
Mailing Address - Street 1:670 COMMERCE DR STE 240
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-9248
Mailing Address - Country:US
Mailing Address - Phone:651-304-0541
Mailing Address - Fax:651-413-3680
Practice Address - Street 1:7200 HUDSON BLVD N STE 107A
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:MN
Practice Address - Zip Code:55128-7098
Practice Address - Country:US
Practice Address - Phone:651-304-0541
Practice Address - Fax:651-413-3680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-15
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health