Provider Demographics
NPI:1740405265
Name:VISION PARTNERS, INC.
Entity Type:Organization
Organization Name:VISION PARTNERS, INC.
Other - Org Name:EYE GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:BOSCH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:706-736-9929
Mailing Address - Street 1:3450 WRIGHTSBORO RD STE 1325
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-0566
Mailing Address - Country:US
Mailing Address - Phone:706-736-9929
Mailing Address - Fax:706-736-9967
Practice Address - Street 1:3450 WRIGHTSBORO RD STE 1325
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-0566
Practice Address - Country:US
Practice Address - Phone:706-736-9929
Practice Address - Fax:706-736-9967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGO343OtherRAILROAD MEDICARE
GAGO343OtherRAILROAD MEDICARE