Vision Masters, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VISION MASTERS, P.C.

Practice address

113 City Smitty Dr
Saint Marys, GA 31558-8908

Phone

(912) 882-3040

Fax

(912) 882-3786

NPI assigned

Nov 19, 2007

Last updated

Apr 30, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John W. McClane, O.D.NPI 1366529075

Title

President/Owner

Phone

(912) 882-3040

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John W McClane III, OD

  • Optometrist
  • Fernandina Beach, FL
  • NPI 1366529075
  NPD (past) Authorized official
• Gerald W. Koss II, O.D.

  • Optometrist
  • Brunswick, GA
  • NPI 1528145257
  NPD (past)
• Julie Ann Wright, O.D.

  • Optometrist
  • Kingsland, GA
  • NPI 1457314320
  NPD (past)
• Anthony L. Stubits, O.D.

  • Optometrist
  • Fernandina Beach, FL
  • NPI 1659458388
  NPD (past)
• Stephen D. Stubits, O.D.

  • Optometrist
  • Fernandina Beach, FL
  • NPI 1255418976
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1063693034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CITY SMITTY DR",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315588908",
            "telephone_number": "912-882-3040",
            "fax_number": "912-882-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CITY SMITTY DR",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315588908",
            "telephone_number": "912-882-3040",
            "fax_number": "912-882-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION MASTERS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "MCCLANE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "912-882-3040",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00243911B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00254141B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00261797C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "959951220A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sinnathurai Vasanthakumar, MD
• Hazel Vazirani, DPT
• Brianna Alexis Vedoy
• Brandon Velasco
• Victoria Y. Warner-White M.D.
• David KWM Vue, DPT, PT
• Amber Wager
• Laila Wahid
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0836)
• Wal-Mart Stores East, LP (Vision Center 30-0836)

• Optometrist in Saint Marys, GA
• Providers in Saint Marys, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.