Vision Services Group, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

VISION SERVICES GROUP, INC.

Practice address

4441 Six Forks Rd
Suite 106-216
Raleigh, NC 27609-5729

Phone

(704) 451-8476

NPI assigned

Dec 12, 2008

Organization subpart

No

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

Authorized official

Name

Simone Gardner McCrea

Title

Executive Director

Phone

(704) 451-8476

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Vision Services Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vision Services Group

  • Mental Health Counselor
  • Esmont, VA
  • NPI 1205168119
  NPD tax ID

Locations

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232841600000",
    "number": "1801031281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 SIX FORKS RD",
            "address_2": "SUITE 106-216",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095729",
            "fax_number": "888-871-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 SIX FORKS RD",
            "address_2": "SUITE 106-216",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095729",
            "telephone_number": "704-451-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION SERVICES GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2009-01-25",
        "status": "A",
        "authorized_official_last_name": "MCCREA",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_middle_name": "GARDNER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-451-8476"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006616",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virtual Medical Group, Inc.
• Vision Clinic OD PA
• Vision Medical Billing SVCS
• Vision of Hope Counseling Service, LLC
• Vision Park Optometry, P.a.
• Visions of Hope Community Support Services
• Visions of Hope Counseling, LLC
• Visions of Hope, Inc.
• Visionworks Inc (Visionworks)
• Visiting Angels Homecare LLC

• Community/Behavioral Health Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2009; 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.