Provider Demographics
NPI:1346296209
Name:VISION ASSOCIATES INC
Entity Type:Organization
Organization Name:VISION ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:401-949-1616
Mailing Address - Street 1:12 SMITH AVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:RI
Mailing Address - Zip Code:02828-1720
Mailing Address - Country:US
Mailing Address - Phone:401-949-1616
Mailing Address - Fax:888-965-9985
Practice Address - Street 1:12 SMITH AVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:RI
Practice Address - Zip Code:02828-1720
Practice Address - Country:US
Practice Address - Phone:401-949-1616
Practice Address - Fax:888-965-9985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIVA00267Medicaid
RIVA00267Medicaid
419007943Medicare ID - Type Unspecified