Provider Demographics
NPI:1639288285
Name:VISION UNLIMITED
Entity Type:Organization
Organization Name:VISION UNLIMITED
Other - Org Name:DR ELIZABETH D TODD AND ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:K
Authorized Official - Last Name:FAHEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-693-6924
Mailing Address - Street 1:PO BOX 1025
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28793-1025
Mailing Address - Country:US
Mailing Address - Phone:828-693-6924
Mailing Address - Fax:828-693-6986
Practice Address - Street 1:706 FLEMING ST
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3526
Practice Address - Country:US
Practice Address - Phone:828-693-6924
Practice Address - Fax:828-693-6986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC09894OtherBCBS
NC8909894Medicaid
NC246477Medicare PIN