Southern Vision Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SOUTHERN VISION CARE, LLC

Practice address

24 Glendale Ave Ste F
Baxley, GA 31513-0245

Phone

(912) 705-7096

Fax

(912) 705-7097

NPI assigned

Jul 6, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Michael Lloyd Mason, ODNPI 1982686564

Title

President

Phone

(912) 375-2516

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Michael Lloyd Mason, OD

  • Optometrist
  • Hazlehurst, GA
  • NPI 1982686564
  NPD Authorized official

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1275104853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 GLENDALE AVE STE F",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130245",
            "telephone_number": "912-705-7096",
            "fax_number": "912-705-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 GLENDALE AVE STE F",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130245",
            "telephone_number": "912-705-7096",
            "fax_number": "912-705-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN VISION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-375-2516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Home Care Services, Inc. (All Ways Caring HomeCare)
• Southern Medicine of Baxley, Inc (Southern Medicine of Baxley)
• Southern Pharmacare LLC (Fulghum Drugs)
• Southern Pharmacare LLC
• Southern Primary Care and Behavioral Health Services, LLC
• Brittnay Spell
• Stan's Medical & Respiratory Equipment, Inc
• Stans Pharmacy Inc
• Stepping Stones Premier Homecare, LLC
• Stepping Stones Therapeutic Solutions LLC

• Optometrist in Baxley, GA
• Providers in Baxley, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.