Provider Demographics
NPI:1427393206
Name:VISION PLUS L.L.C.
Entity Type:Organization
Organization Name:VISION PLUS L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:CHANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:NOWELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-860-0733
Mailing Address - Street 1:100 CAMELLIA LN
Mailing Address - Street 2:113
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-1899
Mailing Address - Country:US
Mailing Address - Phone:404-860-0733
Mailing Address - Fax:
Practice Address - Street 1:3285 MIDWAY RD
Practice Address - Street 2:113
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-2825
Practice Address - Country:US
Practice Address - Phone:404-860-0733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-04
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty