Vision Innovation Centers of Pennsylvania LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

VISION INNOVATION CENTERS OF PENNSYLVANIA LLC

Practice address

200 Laurel Mall
Hazle Township, PA 18202-1200

Phone

(571) 455-5498

NPI assigned

Jun 29, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maria C Scott

Title

Owner

Phone

(410) 571-7998

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1003486341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 RUTTER AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187044801",
            "telephone_number": "410-571-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LAUREL MALL",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182021200",
            "telephone_number": "571-455-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION INNOVATION CENTERS OF PENNSYLVANIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-571-7998"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacque Anne Thomas, CRNP
• Megan Lynn Thomas, PTA
• Natalie Thorington, C.R.N.P.
• Maxwell Eric Tolan, M.D.
• Angela Turse, LPC
• Vision Innovation Centers of Pennsylvania LLC
• Deana Vonfrisch
• Jennifer Wahy, CRNP
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP.

• Optician in Hazle Township, PA
• Providers in Hazle Township, PA by specialty
• Optician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.