Provider Demographics
NPI:1770644825
Name:VISION PLUS LLC
Entity Type:Organization
Organization Name:VISION PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:BERNARD
Authorized Official - Last Name:PRUITT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:864-433-9555
Mailing Address - Street 1:1955 E. MAIN ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:DUNCAN
Mailing Address - State:SC
Mailing Address - Zip Code:29334-9214
Mailing Address - Country:US
Mailing Address - Phone:864-433-9555
Mailing Address - Fax:864-433-9523
Practice Address - Street 1:1955 E. MAIN ST
Practice Address - Street 2:SUITE C
Practice Address - City:DUNCAN
Practice Address - State:SC
Practice Address - Zip Code:29334-9214
Practice Address - Country:US
Practice Address - Phone:864-433-9555
Practice Address - Fax:864-433-9523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1064152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty