Provider Demographics
NPI:1770912149
Name:GLOBAL VISION FOUNDATION, INC.
Entity type:Organization
Organization Name:GLOBAL VISION FOUNDATION, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TOYIN
Authorized Official - Middle Name:O
Authorized Official - Last Name:OPESANMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-963-5870
Mailing Address - Street 1:12108 EARLY LILACS PATH
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-1676
Mailing Address - Country:US
Mailing Address - Phone:410-963-5870
Mailing Address - Fax:240-264-6155
Practice Address - Street 1:9171 CENTRAL AVE
Practice Address - Street 2:UNITS B11 & B12
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-3837
Practice Address - Country:US
Practice Address - Phone:240-294-6058
Practice Address - Fax:240-640-6155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-06
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0059876207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty