Healthcare Provider Details

I. General information

NPI: 1124722160
Provider Name (Legal Business Name): VISION PROFESSIONALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 CAMERON AVE
LEWIS CENTER OH
43035-9662
US

IV. Provider business mailing address

1325 CAMERON AVE
LEWIS CENTER OH
43035-9662
US

V. Phone/Fax

Practice location:
  • Phone: 380-500-4026
  • Fax:
Mailing address:
  • Phone: 380-500-4026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER ALLEN SMILEY
Title or Position: DOCTOR OF OPTOMETRY
Credential: OD
Phone: 614-880-2020