Organization Active NPI

Visioncheck

  • Optician
  • Jonesboro, GA
National Provider Identifier
1811240948
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
LDO001188 Issued in GA
Legal business name
VISIONCHECK
Practice address
105 Links Cir
Jonesboro, GA 30238-6308
Phone
(678) 851-3322
Fax
(678) 519-5587
NPI assigned
Oct 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Authorized official

Name
Mrs. Sharon C. Mitchell, LDO
Title
Owner
Phone
(678) 369-8676

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPT000884 GA
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X LDO001188 GA Primary

Addresses

Primary practice location

105 Links Cir
Jonesboro, GA 30238-6308

Mailing address

6525 Tara Blvd # 134
Jonesboro, GA 30236-1227
Phone (678) 369-8676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130925000397 GA Part B Supplier - Clinic/Group Practice 3476797846 Receives reassigned benefits from 2 practitioners
Practice locations: Jonesboro, GA

National Provider Directory

National Provider Directory

Locations

6525 Tara Blvd
Jonesboro, GA 30236
Phone (678) 369-8676

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1811240948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 TARA BLVD # 134",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361227",
            "telephone_number": "678-369-8676",
            "fax_number": "678-519-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LINKS CIR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302386308",
            "telephone_number": "678-851-3322",
            "fax_number": "678-519-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONCHECK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-369-8676",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT000884",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "LDO001188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.