Provider Demographics
NPI:1790039881
Name:VISION PROFESSIONALS
Entity Type:Organization
Organization Name:VISION PROFESSIONALS
Other - Org Name:CHRIS A. SMILEY, O.D AND ASSOCIATES LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER / OPTOMETRIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:SMILEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:614-855-7475
Mailing Address - Street 1:5121 FOREST DRIVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054
Mailing Address - Country:US
Mailing Address - Phone:614-855-7574
Mailing Address - Fax:614-855-9784
Practice Address - Street 1:5121 FOREST DRIVE
Practice Address - Street 2:SUITE B
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054
Practice Address - Country:US
Practice Address - Phone:614-855-7574
Practice Address - Fax:614-855-9784
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VISION PROFESSIONALS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-29
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5241152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHU85239Medicare UPIN
OH4051962Medicare PIN