Exodus Vision, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EXODUS VISION, LLC

Doing business as

Vision Center at Meijer

Practice address

1260 Lyell Ave
Rochester, NY 14606-2040

Phone

(585) 254-0022

NPI assigned

Mar 6, 2012

Organization subpart

No

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

Authorized official

Name

Erica Marie Liechty

Title

Admin Manager

Phone

(574) 935-9827

Specialties & licenses 1

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

  dba Vision Center at Meijer

  • Optometrist
  • Rochester, NY
  • NPI 1215205679
  NPD tax ID

Locations

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1245504471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 ANTHEM VILLAGE DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525503",
            "telephone_number": "585-254-0022"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXODUS VISION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "LIECHTY",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMIN MANAGER",
        "authorized_official_telephone_number": "574-935-9827"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Center at Meijer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kylie Bellis Ewing, CPNP-AC
• Excel Medical Care PC (AccelCare)
• Excellus Health Plan, Inc.
• Exercise Express LLC
• Exodus Vision, LLC (Vision Center at Meijer)
• Eye Appeal Masters in Vision LLC
• Eye Appeal Masters in Vision LLC
• Eye Physicians and Surgeons (Ocusight)
• Eye Physicians and Surgeons (Ocusight)
• Eye Physicians and Surgeons of Western New York PLLC (Ocusight)

• Eyewear Supplier in Rochester, NY
• Providers in Rochester, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.