Active NPI
Vision Healthcare Provider Services, LLC
- Community/Behavioral Health Agency
- Charlotte, NC
National Provider Identifier
1689793119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- VISION HEALTHCARE PROVIDER SERVICES, LLC
- Practice address
- 1101 Tyvola Rd Ste 307
Charlotte, NC 28217-3515 - Phone
- (704) 884-6446
- NPI assigned
- Mar 28, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sharon Elizabeth Garrett, M.ED.
- Title
- Services Director
- Phone
- (704) 644-5331
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1101 Tyvola Rd Ste 307
Charlotte, NC 28217-3515
Mailing address
1101 Tyvola Rd Ste 307
Charlotte, NC 28217-3515
Phone (704) 884-6446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8301550 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
1101 Tyvola Rd
Ste 307
Charlotte, NC 28217
Phone (704) 884-6446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1689793119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 TYVOLA RD STE 307",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282173515",
"telephone_number": "704-884-6446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 TYVOLA RD STE 307",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282173515",
"telephone_number": "704-884-6446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISION HEALTHCARE PROVIDER SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GARRETT",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "SERVICES DIRECTOR",
"authorized_official_telephone_number": "704-644-5331",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.ED."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8301550",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Vishal Patel DMD PLLC
- Pardha Saradhi Vishnumolakala, M.D., M.H.A
- Vision Care Associates, OD, PA
- Vision Central
- Vision Health Center, LLC (Family Choice Home Care)
- Vision Home Care Services Inc.
- Visionary Impact Development LLC
- Visionary Passage Counseling and Consultation Services
- Visionone Health Services, Inc.
- Visions of Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.