Provider Demographics
NPI:1194946210
Name:PRECISION VISION INC.
Entity type:Organization
Organization Name:PRECISION VISION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRES GEN. MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:FINIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:MCFARLAND
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:601-794-2020
Mailing Address - Street 1:P O BOX 303
Mailing Address - Street 2:176 SHELBY SPEIGHTS DR SUITE 7
Mailing Address - City:PURVIS
Mailing Address - State:MS
Mailing Address - Zip Code:39475-0303
Mailing Address - Country:US
Mailing Address - Phone:601-794-2020
Mailing Address - Fax:601-794-6675
Practice Address - Street 1:176 SHELBY SPEIGHTS DR
Practice Address - Street 2:SUITE 7
Practice Address - City:PURVIS
Practice Address - State:MS
Practice Address - Zip Code:39475-0303
Practice Address - Country:US
Practice Address - Phone:601-794-2020
Practice Address - Fax:601-794-6675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00880139Medicaid