Premier Vision Center PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1922 DT Issued in KY

Legal business name

PREMIER VISION CENTER PLLC

Practice address

5020 Norton Healthcare Blvd
Louisville, KY 40241

Phone

(502) 420-0173

NPI assigned

Mar 10, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca Green, OD

Title

Optometrist

Phone

(502) 649-0283

Specialties & licenses 1

Addresses

Other names 1

• Green Family Vision Care Doing business as

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1285095703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 NORTON HEALTHCARE BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 NORTON HEALTHCARE BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40241",
            "telephone_number": "502-420-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER VISION CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "502-649-0283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1922 DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Family Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Louisville, KY
• Providers in Louisville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.