Procare Vision Center, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

5542 Issued in OH

Legal business name

PROCARE VISION CENTER, LLC

Practice address

316 2ND St
Marietta, OH 45750-2919

Phone

(740) 374-3937

Fax

(740) 376-9437

NPI assigned

Dec 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Holly Laraine Sprout, O.D.

Title

Optometrist

Phone

(740) 374-3937

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1083917819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 2ND ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502919",
            "telephone_number": "740-374-3937",
            "fax_number": "740-376-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 2ND ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502919",
            "telephone_number": "740-374-3937",
            "fax_number": "740-376-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE VISION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "SPROUT",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "LARAINE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "740-374-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "5542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Prachun, MD
• Amal Prazad
• Susan E Presseau, MD
• Haley Pressley
• Private Healthcare Facilities
• Gabrielle Prokop, M.D.
• Andrew Peter Proto
• Lisa Ann Provost, CRNA
• Young-Mi Pruden, M.D.
• Alexander Nathan Pyles, CDCA

• Primary Care Clinic/Center in Marietta, OH
• Providers in Marietta, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.