Exodus Vision, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EXODUS VISION, LLC

Practice address

1260 Lyell Ave
Rochester, NY 14606-2040

Phone

(585) 254-0022

Fax

(585) 254-0132

NPI assigned

Dec 13, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Ho

Title

Ceo

Phone

(585) 254-0022

Specialties & licenses 2

Addresses

Other names 1

• Vision Center at Meijer Doing business as

Tax ID family

Exodus Vision LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Exodus Vision, LLC

  • Eyewear Supplier
  • Rochester, NY
  • NPI 1245504471
  NPD tax ID

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1215205679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 COLUMBIA AVE W",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490152847",
            "telephone_number": "269-968-1600",
            "fax_number": "269-968-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 LYELL AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146062040",
            "telephone_number": "585-254-0022",
            "fax_number": "585-254-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXODUS VISION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "585-254-0022",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Center at Meijer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Ralph Ewing, M.D.
• Kylie Bellis Ewing, CPNP-AC
• Excel Medical Care PC
• Excellus Health Plan, Inc.
• Exercise Express LLC
• Exodus Vision, LLC
• Eye Appeal Masters in Vision LLC
• Eye Appeal Masters in Vision LLC
• Eye Physicians and Surgeons
• Eye Physicians and Surgeons

• Optometrist in Rochester, NY
• Providers in Rochester, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.