Provider Demographics
NPI:1831900869
Name:VISION FAMILY MEDICAL
Entity type:Organization
Organization Name:VISION FAMILY MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIWANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICIAN ASSISTANT
Authorized Official - Phone:302-276-8228
Mailing Address - Street 1:PO BOX 931
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-0931
Mailing Address - Country:US
Mailing Address - Phone:302-276-8228
Mailing Address - Fax:
Practice Address - Street 1:206 FINCH WAY
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-4275
Practice Address - Country:US
Practice Address - Phone:302-276-8228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-17
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty