Provider Demographics
NPI:1871039933
Name:FAMILY VISION CARE LLC
Entity Type:Organization
Organization Name:FAMILY VISION CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:BLAKE
Authorized Official - Last Name:HUTTO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:912-632-7623
Mailing Address - Street 1:131 GA HIGHWAY 32 BYP
Mailing Address - Street 2:
Mailing Address - City:ALMA
Mailing Address - State:GA
Mailing Address - Zip Code:31510-2757
Mailing Address - Country:US
Mailing Address - Phone:912-632-7623
Mailing Address - Fax:912-632-5816
Practice Address - Street 1:131 GA HIGHWAY 32 BYP
Practice Address - Street 2:
Practice Address - City:ALMA
Practice Address - State:GA
Practice Address - Zip Code:31510-2757
Practice Address - Country:US
Practice Address - Phone:912-632-7623
Practice Address - Fax:912-632-5816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-13
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty