Healthcare Provider Details

I. General information

NPI: 1700819240
Provider Name (Legal Business Name): VISION PROFESSIONALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 DOCTORS DRIVE
DOTHAN AL
36301-3026
US

IV. Provider business mailing address

102 DOCTORS DRIVE
DOTHAN AL
36301-3026
US

V. Phone/Fax

Practice location:
  • Phone: 334-794-1968
  • Fax: 334-794-0186
Mailing address:
  • Phone: 334-794-1968
  • Fax: 334-794-0186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JIMMY MAXWELL CARTER
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 334-794-1968