Professional Vision Services Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

000508 Issued in GA

Legal business name

PROFESSIONAL VISION SERVICES INC

Practice address

115 7TH St
Cordele, GA 31010

Phone

(229) 273-2478

Fax

(229) 271-2432

NPI assigned

Apr 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Warren Thomas Chancey, OD

Title

Ceo Owner of Professional Vision

Phone

(229) 273-2478

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1649444993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 935",
            "address_2": "PROFESSIONAL VISION SERVICES INC",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "31010",
            "telephone_number": "229-273-2478",
            "fax_number": "229-271-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 7TH ST",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "31010",
            "telephone_number": "229-273-2478",
            "fax_number": "229-271-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL VISION SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "CHANCEY",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO OWNER OF PROFESSIONAL VISION",
        "authorized_official_telephone_number": "229-273-2478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "000508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arliss Pope
• Talaycia Porter, NP
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• Casey Price
• Pruitthealth Home Health - South Atlanta, Inc. (PruittHealth @ Home - Cordele)
• Pruitthealth Hospice, Inc. (PruittHealth Hospice - Cordele)
• Lauren Brooke Pullen, PHARM.D.
• R W Leitner OD LLC (Leitner Eye Care)
• Radiology Associates of Cordele

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.