Lebanon Vision Center, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LEBANON VISION CENTER, LLC

Practice address

777 Columbus Ave
Lebanon, OH 45036-1684

Phone

(513) 932-3343

Fax

(216) 365-6403

NPI assigned

Jul 11, 2022

Organization subpart

No

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

Authorized official

Name

Jennie Huber

Title

Billing Manager

Phone

(513) 398-3886

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Burt, O.D.

  • Optometrist
  • Cincinnati, OH
  • NPI 1447608807
  Medicare reassignment Care Compare group NPD
• Gregory James Stucke, O.D.

  • Optometrist
  • Mason, OH
  • NPI 1689982704
  Medicare reassignment Care Compare group NPD
• Kacie Lee Stucke, O.D.

  • Optometrist
  • Mason, OH
  • NPI 1568778702
  Medicare reassignment Care Compare group NPD
• Andrew Fisher

  • Optometrist
  • Loveland, OH
  • NPI 1407204282
  Medicare reassignment Care Compare group NPD (past)
• Keith A Bednarczuk, OD INC

  • Optometrist
  • Lebanon, OH
  • NPI 1972594257
  NPD (past)
• Lizbeth J Kuhn Hemmelgarn, OD

  • Optometrist
  • New Carlisle, OH
  • NPI 1710966585
  NPD (past)

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1013641703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 COLUMBUS AVE",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361684",
            "telephone_number": "513-932-3343",
            "fax_number": "216-365-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 COLUMBUS AVE",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361684",
            "telephone_number": "513-932-3343",
            "fax_number": "216-365-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBANON VISION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "513-398-3886"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lebanon Hematologyoncology Inc
• Lebanon Medical Center, Inc
• Lebanon Nursing & Rehabilitation Center LLC
• Lebanon Petr Vaughan DDS LLC (Lebanon Pediatric Dentistry)
• Lebanon Senior Living, LLC (Traditions of Lebanon)
• Gretchen Lynn Lee
• Hannah Rae Leedy
• Kristen M Leedy, LPN
• Patricia Leininger, LISW-S
• Sarina Lynn Leisz

• Optometrist in Lebanon, OH
• Providers in Lebanon, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.