MEDICARE: VISION FIRST LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1386079630
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISION FIRST LLC

Provider Business Mailing Address
First Line	:	33 E MAIN ST
Second Line	:
City	:	NEW CONCORD
State	:	OH
Zip	:	43762-1214
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 E MAIN ST
Second Line	:
City	:	NEW CONCORD
State	:	OH
Zip	:	43762-1214
Country	:	US
Telephone Number	:	740-826-1111
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AARON BRENT LAWRENCE
Credential	:	O.D.
Telephone Number	:	740-826-1111

Provider Enumeration Date	:	09/05/2013
Last Update Date	:	10/02/2013

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Directions to “VISION FIRST LLC ” Practice Location

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