Provider Demographics
NPI:1700649621
Name:MOVING VISION TRANSPORTATION SERVICES
Entity type:Organization
Organization Name:MOVING VISION TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-310-2475
Mailing Address - Street 1:455 GRAYSON HWY
Mailing Address - Street 2:STE 113, PMB #30
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-4444
Mailing Address - Country:US
Mailing Address - Phone:470-641-8683
Mailing Address - Fax:
Practice Address - Street 1:118 DOROTHY LN
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-4444
Practice Address - Country:US
Practice Address - Phone:470-641-8683
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-02
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)