Organization Active NPI

Refined Vision Therapeutic Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stockbridge, GA
National Provider Identifier
1114724077
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
REFINED VISION THERAPEUTIC SERVICES
Practice address
407 Tea Rose LN N
Stockbridge, GA 30281-2364
Phone
(404) 259-4400
NPI assigned
Feb 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Authorized official

Name
Ammereta Gaskin, LMFT
Title
Owner
Phone
(404) 259-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

407 Tea Rose LN N
Stockbridge, GA 30281-2364

Mailing address

407 Tea Rose LN N
Stockbridge, GA 30281-2364

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1114724077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 TEA ROSE LN N",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302812364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 TEA ROSE LN N",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302812364",
            "telephone_number": "404-259-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFINED VISION THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "GASKIN",
        "authorized_official_first_name": "AMMERETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-259-4400",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.