Provider Demographics
NPI:1194877076
Name:VISIONS PLUS INC.
Entity type:Organization
Organization Name:VISIONS PLUS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYON
Authorized Official - Middle Name:J
Authorized Official - Last Name:LUSSIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-235-2020
Mailing Address - Street 1:204 S DURBIN ST
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-2562
Mailing Address - Country:US
Mailing Address - Phone:307-235-2020
Mailing Address - Fax:307-235-6193
Practice Address - Street 1:204 S DURBIN ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-2562
Practice Address - Country:US
Practice Address - Phone:307-235-2020
Practice Address - Fax:307-235-6193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY103987300Medicaid
WY103987300Medicaid