Electra Vision, LLC.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1021-OD Issued in WV

Legal business name

ELECTRA VISION, LLC.

Practice address

217 Oak Lee Dr
Suite 12B
Ranson, WV 25438-4871

Phone

(304) 724-2025

NPI assigned

Feb 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Barbara Pittaras, O.D.

Title

Owner

Phone

(304) 724-2025

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1329004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1104199892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 OAK LEE DR",
            "address_2": "SUITE 12B",
            "city": "RANSON",
            "state": "WV",
            "postal_code": "254384871",
            "telephone_number": "304-724-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 OAK LEE DR",
            "address_2": "SUITE 12B",
            "city": "RANSON",
            "state": "WV",
            "postal_code": "254384871",
            "telephone_number": "304-724-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTRA VISION, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-12",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "PITTARAS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-724-2025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": "1021-OD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Ranson, WV
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.