Provider Demographics
NPI:1871775973
Name:ACUVISION INC.
Entity type:Organization
Organization Name:ACUVISION INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:SISSON
Authorized Official - Last Name:BUSCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-839-3711
Mailing Address - Street 1:1726 E SOUTHERN AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-5686
Mailing Address - Country:US
Mailing Address - Phone:480-839-3711
Mailing Address - Fax:480-456-3359
Practice Address - Street 1:1726 E SOUTHERN AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-5686
Practice Address - Country:US
Practice Address - Phone:480-839-3711
Practice Address - Fax:480-456-3359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ286156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ0251850001Medicare NSC