My Vision Centers LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MY VISION CENTERS LLC

Practice address

570 Gypsy LN
Youngstown, OH 44505-2144

Phone

(330) 743-9816

NPI assigned

Feb 14, 2022

Last updated

Nov 11, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

MY VISION CENTERS LLCAs reported in NPPES

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

Authorized official

Name

Shane Andrews

Title

Owner

Phone

(330) 524-6015

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• My Vision Centers LLC

  • Optometrist
  • Middlefield, OH
  • NPI 1427627074

  O20211217001774

  Same enrollment

Tax ID family

My Vision Centers LLC2 organizations share this tax ID, including this one

Part of

My Vision Centers LLC

Other organizations with this tax ID 1

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

• My Vision Centers LLC

  • Optometrist
  • Middlefield, OH
  • NPI 1427627074
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• My Vision Centers LLC

  • Optometrist
  • Middlefield, OH
  • NPI 1427627074
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy A Andrews, O.D.

  • Vision Therapy Optometrist
  • Garrettsville, OH
  • NPI 1609951664
  NPD
• Natasha Chang, OD

  • Optometrist
  • Youngstown, OH
  • NPI 1497382212
  NPD
• Daniel C Drought, O.D.

  • Optometrist
  • Geneva, OH
  • NPI 1255474482
  NPD
• Nicholas Flebotte

  • Optometrist
  • Poland, OH
  • NPI 1598318610
  NPD (past)

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1265187769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEMORY LN STE 100",
            "city": "GARRETTSVILLE",
            "state": "OH",
            "postal_code": "442319415",
            "telephone_number": "330-527-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 GYPSY LN",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052144",
            "telephone_number": "330-743-9816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24321 Lorain Rd",
            "address_purpose": "LOCATION",
            "city": "North Olmsted",
            "state": "OH",
            "postal_code": "440702166",
            "country_code": "US",
            "telephone_number": "440-777-8686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "895 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "OH",
            "postal_code": "440419146",
            "country_code": "US",
            "telephone_number": "440-466-4661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 S Main St",
            "address_purpose": "LOCATION",
            "city": "Poland",
            "state": "OH",
            "postal_code": "445141914",
            "country_code": "US",
            "telephone_number": "330-757-1519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15005 Harrington Way",
            "address_purpose": "LOCATION",
            "city": "Middlefield",
            "state": "OH",
            "postal_code": "440627225",
            "country_code": "US",
            "telephone_number": "440-688-5225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MY VISION CENTERS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MY VISION CENTERS LLC",
        "enumeration_date": "2022-02-14",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-524-6015"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.