Provider Demographics
NPI:1609041268
Name:R. B. VISIONS INC.
Entity type:Organization
Organization Name:R. B. VISIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:RANDI
Authorized Official - Middle Name:B
Authorized Official - Last Name:JABUREK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-421-4211
Mailing Address - Street 1:361 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-3203
Mailing Address - Country:US
Mailing Address - Phone:631-421-4211
Mailing Address - Fax:
Practice Address - Street 1:361 MAIN ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-3203
Practice Address - Country:US
Practice Address - Phone:631-421-4211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004656332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4487390001Medicare NSC