Provider Demographics
NPI:1346417607
Name:VISION HEALTH PRACTICES, INC.
Entity Type:Organization
Organization Name:VISION HEALTH PRACTICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:614-876-6524
Mailing Address - Street 1:5525 SCIOTO DARBY RD
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-1311
Mailing Address - Country:US
Mailing Address - Phone:614-876-6524
Mailing Address - Fax:614-876-6246
Practice Address - Street 1:5525 SCIOTO DARBY RD
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-1311
Practice Address - Country:US
Practice Address - Phone:614-876-6524
Practice Address - Fax:614-876-6246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-14
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4013152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CB8052OtherRAILROAD MEDICARE
OH0777388Medicaid
OH0505810001Medicare NSC
CB8052OtherRAILROAD MEDICARE