Vision on the Move

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VISION ON THE MOVE

Practice address

1015 Toll St
Eddystone, PA 19022-1451

Phone

(718) 753-5808

NPI assigned

Aug 28, 2020

Last updated

Aug 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim Hunter, OPTICIAN

Title

Dispensing Optician

Phone

(718) 753-5808

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1164035267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 TOLL ST",
            "city": "EDDYSTONE",
            "state": "PA",
            "postal_code": "190221451",
            "telephone_number": "718-753-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 TOLL ST",
            "city": "EDDYSTONE",
            "state": "PA",
            "postal_code": "190221451",
            "telephone_number": "718-753-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION ON THE MOVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "DISPENSING OPTICIAN",
        "authorized_official_telephone_number": "718-753-5808",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nadira Taylor
• Aleida Thorogood
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2830)
• Wal-Mart Stores East, LP (Vision Center 30-2830)

• Primary Care Clinic/Center in Eddystone, PA
• Providers in Eddystone, PA by specialty
• Primary Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.