Organization Active NPI

Vision Max

  • Optometrist
  • Montoursville, PA
National Provider Identifier
1174709604
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OET-08726-T Issued in PA
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

Updated by the provider on Aug 4, 2010

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
ST-342569OtherPACLARITY VISION
393860OtherPANVA
52363OtherPADAVIS VISION
PA-6839OtherPAEYE MED

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.