Healthcare Provider Details
I. General information
NPI: 1225081797
Provider Name (Legal Business Name): VISION PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/18/2006
Last Update Date: 02/01/2023
Certification Date: 02/01/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
601 PROVIDENCE PARK DR E
MOBILE AL
36695-4617
US
IV. Provider business mailing address
601 PROVIDENCE PARK DR E
MOBILE AL
36695-4617
US
V. Phone/Fax
- Phone: 251-650-2020
- Fax: 251-650-1010
- Phone: 251-650-2020
- Fax: 251-650-1010
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LEONARD
STEVEN
RICH
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 251-650-1003