Provider Demographics
NPI:1821124827
Name:VISION WORLD INC
Entity Type:Organization
Organization Name:VISION WORLD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:BASIL
Authorized Official - Middle Name:STANLEY
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LDO
Authorized Official - Phone:706-882-8841
Mailing Address - Street 1:1501 LAFAYETTE PKWY
Mailing Address - Street 2:C10
Mailing Address - City:LAGRANGE
Mailing Address - State:GA
Mailing Address - Zip Code:30241-2589
Mailing Address - Country:US
Mailing Address - Phone:706-882-8841
Mailing Address - Fax:706-884-2804
Practice Address - Street 1:1627 OPELIKA RD STE 100
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-1869
Practice Address - Country:US
Practice Address - Phone:334-821-0785
Practice Address - Fax:334-821-9431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000336156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0670900008Medicare NSC