Provider Demographics
NPI:1528661600
Name:OHPNTZ VISION LLC
Entity type:Organization
Organization Name:OHPNTZ VISION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STACY
Authorized Official - Middle Name:E
Authorized Official - Last Name:BEAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:978-337-9655
Mailing Address - Street 1:5 PRINCETON ST
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-1408
Mailing Address - Country:US
Mailing Address - Phone:978-337-9655
Mailing Address - Fax:
Practice Address - Street 1:40 ENON ST
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-1168
Practice Address - Country:US
Practice Address - Phone:781-922-7120
Practice Address - Fax:978-922-5997
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STACY E BEAN, OD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty