Provider Demographics
NPI:1942198353
Name:VENICE VISION LLC
Entity type:Organization
Organization Name:VENICE VISION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DREW
Authorized Official - Middle Name:PRESCOTT
Authorized Official - Last Name:FESSENDEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:941-302-4713
Mailing Address - Street 1:2241 SCENIC DR
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-1537
Mailing Address - Country:US
Mailing Address - Phone:941-302-4713
Mailing Address - Fax:941-921-4473
Practice Address - Street 1:2165 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293-5034
Practice Address - Country:US
Practice Address - Phone:941-493-8787
Practice Address - Fax:941-924-1419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier