Provider Demographics
NPI:1053541854
Name:3D VISION, INC
Entity type:Organization
Organization Name:3D VISION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNI
Authorized Official - Middle Name:CORINNE
Authorized Official - Last Name:DRAKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-870-4624
Mailing Address - Street 1:7590 SADDLEBACK RD
Mailing Address - Street 2:
Mailing Address - City:BEULAH
Mailing Address - State:CO
Mailing Address - Zip Code:81023-9502
Mailing Address - Country:US
Mailing Address - Phone:215-870-4624
Mailing Address - Fax:
Practice Address - Street 1:4491 BENT BROTHERS BLVD
Practice Address - Street 2:
Practice Address - City:COLORADO CITY
Practice Address - State:CO
Practice Address - Zip Code:81019-2015
Practice Address - Country:US
Practice Address - Phone:719-676-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-15
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty