Active NPI
Vision Max
- Optometrist
- Montoursville, PA
National Provider Identifier
1174709604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OET-08726-T
- Legal business name
- VISION MAX
- Practice address
- 247 Broad Street
Montoursville, PA 17754 - Phone
- (570) 329-0188
- Fax
- (570) 329-0190
- NPI assigned
- Jan 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Steven Michael Kriner
- Title
- Owner
- Phone
- (570) 329-0188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OET-08726-T | PA | Primary |
Addresses
Primary practice location
247 Broad Street
Montoursville, PA 17754
Mailing address
247 Broad Street
Montoursville, PA 17754
Phone (570) 329-0188
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ST-342569 | Other | PA | CLARITY VISION |
| 393860 | Other | PA | NVA |
| 52363 | Other | PA | DAVIS VISION |
| PA-6839 | Other | PA | EYE MED |
National Provider Directory
National Provider DirectoryLocations
247 Broad St
Montoursville, PA 17754
Phone (570) 329-0188
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Montoursville, PA
- NPI 1083681779
-
- Optometrist
- Milton, PA
- NPI 1578625158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280880000000",
"number": "1174709604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 BROAD STREET",
"city": "MONTOURSVILLE",
"state": "PA",
"postal_code": "17754",
"telephone_number": "570-329-0188",
"fax_number": "570-329-0190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 BROAD STREET",
"city": "MONTOURSVILLE",
"state": "PA",
"postal_code": "17754",
"telephone_number": "570-329-0188",
"fax_number": "570-329-0190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISION MAX",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-15",
"last_updated": "2010-08-04",
"status": "A",
"authorized_official_last_name": "KRINER",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "570-329-0188",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "PA",
"license": "OET-08726-T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLARITY VISION",
"identifier": "ST-342569",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NVA",
"identifier": "393860",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "52363",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYE MED",
"identifier": "PA-6839",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montoursville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.