Exton Vision Center ,LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000985 Issued in PA

Legal business name

EXTON VISION CENTER ,LLC

Practice address

121 John Robert Thomas Drive
Exton, PA 19341-2654

Phone

(610) 363-6203

Fax

(610) 363-6226

NPI assigned

Jun 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Alan M Cohen, OD

Title

Onwer/OD

Phone

(610) 363-6203

Specialties & licenses 1

Addresses

Other names 1

• EXTON VISION CENTER ,LLC Former legal business name

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1013950732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 JOHN ROBERT THOMAS DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412654",
            "telephone_number": "610-363-6203",
            "fax_number": "610-363-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 JOHN ROBERT THOMAS DRIVE",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412654",
            "telephone_number": "610-363-6203",
            "fax_number": "610-363-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTON VISION CENTER ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ONWER/OD",
        "authorized_official_telephone_number": "610-363-6203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXTON VISION CENTER ,LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Optometrist in Exton, PA
• Providers in Exton, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.