Provider Demographics
NPI:1689840274
Name:VISION EDUCATIONAL CENTER
Entity Type:Organization
Organization Name:VISION EDUCATIONAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NELZARIE
Authorized Official - Middle Name:INEZ
Authorized Official - Last Name:WYNN
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:864-422-0456
Mailing Address - Street 1:1 CHICK SPRINGS RD
Mailing Address - Street 2:STE 207C
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29609-4946
Mailing Address - Country:US
Mailing Address - Phone:864-298-8959
Mailing Address - Fax:864-248-6128
Practice Address - Street 1:1 CHICK SPRINGS RD
Practice Address - Street 2:STE 207C
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609-4946
Practice Address - Country:US
Practice Address - Phone:864-298-8959
Practice Address - Fax:864-248-6128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-02
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare