Healthcare Provider Details

I. General information

NPI: 1558087650
Provider Name (Legal Business Name): VISION EYE GROUP - WARNER ROBINS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2022
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4050 RIVERSIDE DR
MACON GA
31210
US

IV. Provider business mailing address

4050 RIVERSIDE DR
MACON GA
31210-1805
US

V. Phone/Fax

Practice location:
  • Phone: 478-744-1710
  • Fax: 478-259-4503
Mailing address:
  • Phone: 478-744-1710
  • Fax: 478-259-4503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JEFFERY C HINSON JR.
Title or Position: PRESIDENT-CO OWNER
Credential: M.D.
Phone: 478-744-1710