Provider Demographics
NPI:1811240948
Name:VISIONCHECK
Entity type:Organization
Organization Name:VISIONCHECK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:C
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:LDO
Authorized Official - Phone:678-369-8676
Mailing Address - Street 1:6525 TARA BLVD # 134
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-1227
Mailing Address - Country:US
Mailing Address - Phone:678-369-8676
Mailing Address - Fax:678-519-5587
Practice Address - Street 1:105 LINKS CIR
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30238-6308
Practice Address - Country:US
Practice Address - Phone:678-851-3322
Practice Address - Fax:678-519-5587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-26
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT000884152W00000X
GALDO001188156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty