Provider Demographics
NPI:1417288671
Name:VISION SAVERS, INC
Entity Type:Organization
Organization Name:VISION SAVERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:LYLE
Authorized Official - Last Name:LASTINGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:478-475-4555
Mailing Address - Street 1:PO BOX 8747
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31095-8747
Mailing Address - Country:US
Mailing Address - Phone:478-328-3937
Mailing Address - Fax:478-929-9525
Practice Address - Street 1:2203 WATSON BLVD
Practice Address - Street 2:SUITE 55
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31093-2994
Practice Address - Country:US
Practice Address - Phone:478-328-3937
Practice Address - Fax:478-929-3525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-27
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT001094152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA4520000001Medicare NSC