Vision Source Meadville, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000417 Issued in PA

Legal business name

VISION SOURCE MEADVILLE, LLC

Practice address

1073 S Main St
Meadville, PA 16335-3129

Phone

(814) 333-6606

Fax

(814) 333-6616

NPI assigned

Jul 30, 2012

Organization subpart

No

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

Authorized official

Name

Christopher L Adsit, O.D.NPI 1477627727

Title

Chief Executive Officer

Phone

(814) 333-6606

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Vision Source Meadville LLC

  • Optometrist
  • Oil City, PA
  • NPI 1295240406
  NPPES parent name
• Vision Source Meadville LLC

  • Optometrist
  • Meadville, PA
  • NPI 1467967794
  NPPES parent name

Practitioners 5

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

• Christopher L Adsit, OD

  • Optometrist
  • Meadville, PA
  • NPI 1477627727
  Medicare reassignment Care Compare group NPD Authorized official
• Gary D Hawk, OD

  • Optometrist
  • Erie, PA
  • NPI 1295890689
  Medicare reassignment Care Compare group NPD
• Dustin Joel Mitchell, O.D.

  • Optometrist
  • Meadville, PA
  • NPI 1912210527
  Medicare reassignment Care Compare group NPD
• Scott A Kennedy, OD

  • Corneal and Contact Management Optometrist
  • Titusville, PA
  • NPI 1922060599
  NPD
• Kassandra Espy, OD

  • Optometrist
  • Oil City, PA
  • NPI 1255802021
  NPD (past)

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1134475007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1073 S MAIN ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353129",
            "telephone_number": "814-333-6606",
            "fax_number": "814-333-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 S MAIN ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353129",
            "telephone_number": "814-333-6606",
            "fax_number": "814-333-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION SOURCE MEADVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "ADSIT",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "814-333-6606",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vision Source Meadville LLC
• Visiting Nurse Association of Crawford County, Inc.
• Jennie M Votava, M.D.
• Deborah C Vrablik, PT
• Ronald Michael Vrablik, MD
• Benjamin Peter Vroman, PHARM.D., BCPS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.