Provider Demographics
NPI:1063029254
Name:VIZIONS MOBILITY LLC
Entity Type:Organization
Organization Name:VIZIONS MOBILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMAREE
Authorized Official - Suffix:
Authorized Official - Credentials:ATP
Authorized Official - Phone:678-612-6581
Mailing Address - Street 1:14111 SPRING MILL RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40245-7490
Mailing Address - Country:US
Mailing Address - Phone:678-612-6581
Mailing Address - Fax:
Practice Address - Street 1:14111 SPRING MILL RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40245-7490
Practice Address - Country:US
Practice Address - Phone:678-612-6581
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-30
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies