Vivid Eyecare LLC

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

OEG001280 Issued in PA

Legal business name

VIVID EYECARE LLC

Doing business as

VIVID Eyecare

Practice address

910 E Woodland Ave
Springfield, PA 19064-3955

Phone

(610) 543-8203

Fax

(610) 543-8205

NPI assigned

Jun 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Williams, ODNPI 1821288820

Title

Manager

Phone

(610) 543-8203

Specialties & licenses 1

Addresses

Other names 1

• VIVID Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

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

• Nicole S Williams, O.D.

  • Optometrist
  • Springfield, PA
  • NPI 1821288820
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1093942492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E WOODLAND AVE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643955",
            "telephone_number": "610-543-8203",
            "fax_number": "610-543-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E WOODLAND AVE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643955",
            "telephone_number": "610-543-8203",
            "fax_number": "610-543-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVID EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "610-543-8203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OEG001280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIVID Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Values Into Action, Inc.
• Rita Varano, LCSW
• Thomas N Verna, DMD
• Robert W Vignola, D.D.S.
• Visionworks, Inc. (Visionworks)
• Florin Vlasie, M.D.
• An Thien Vo, M.D.
• Franklin Vogel Jr., DPM
• Vy Vu, PA-C
• Roshni Vyas, DO

• Corneal and Contact Management Optometrist in Springfield, PA
• Providers in Springfield, PA by specialty
• Corneal and Contact Management Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.