Specialty Vision Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001935 Issued in PA

Legal business name

SPECIALTY VISION CARE, LLC

Practice address

112 S Main St
Muncy, PA 17756-1369

Phone

(570) 546-4885

NPI assigned

Jan 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Marcus Myers, O.D.NPI 1578754289

Title

Member

Phone

(570) 546-4885

Specialties & licenses 1

Addresses

Other names 1

• Vision & Learning Center of Northcentral PA Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

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

• Marcus L Myers, O.D.

  • Optometrist
  • Muncy, PA
  • NPI 1578754289
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1194055368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S MARKET ST",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "177561417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S MAIN ST",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "177561369",
            "telephone_number": "570-546-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY VISION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "570-546-4885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision & Learning Center of Northcentral PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer C Skow, PA-C
• John Slodysko
• Denise Michelle Snodgrass, RPH
• Sheryl Snyder-Everitt
• Danielle Joy Sommers, M.S. CCC-SLP
• Stalwart Emergency Physicians, PPLC
• Zachary Edward Stiner
• Lisa Marie Stopper-Gee, MPT
• Bethany Lauren Stroup, OTR/L
• Alena Stump, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.