Provider Demographics
NPI:1124323027
Name:VISIONSTHREE PARTNERSHIP
Entity type:Organization
Organization Name:VISIONSTHREE PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:D
Authorized Official - Last Name:SPRUILL
Authorized Official - Suffix:
Authorized Official - Credentials:PCA
Authorized Official - Phone:757-606-3945
Mailing Address - Street 1:3313 PINE HILL CRES
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-5123
Mailing Address - Country:US
Mailing Address - Phone:757-606-3945
Mailing Address - Fax:757-606-1211
Practice Address - Street 1:3313 PINE HILL CRES
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-5123
Practice Address - Country:US
Practice Address - Phone:757-606-3945
Practice Address - Fax:757-606-1211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-24
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA305S00000X305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA=========OtherPREFERED PROVIDER; 305500000X