Vision Source Meadville LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000417 Issued in PA

Legal business name

VISION SOURCE MEADVILLE LLC

Doing business as

Oil City Eye Associates

Practice address

9 E 1St St
Oil City, PA 16301-2347

Phone

(814) 677-2066

NPI assigned

Dec 11, 2017

Last updated

Dec 11, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

VISION SOURCE MEADVILLE LLCAs reported in NPPES

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

Authorized official

Name

Kimberly J Adsit

Title

Business Manager

Phone

(814) 333-6606

Specialties & licenses 3

Addresses

Other names 1

• Oil City Eye Associates Doing business as

Tax ID family

Vision Source Meadville LLC2 organizations share this tax ID, including this one

Part of

Vision Source Meadville LLC

Other organizations with this tax ID 1

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

• Vision Source Meadville LLC

  dba Oil City Eye Associates

  • Optometrist
  • Meadville, PA
  • NPI 1467967794
  NPD tax ID

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.

• Vision Source Meadville, LLC

  • Optometrist
  • Meadville, PA
  • NPI 1134475007
  NPPES parent name

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1295240406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1073 S MAIN ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353129",
            "telephone_number": "814-333-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 E 1ST ST",
            "city": "OIL CITY",
            "state": "PA",
            "postal_code": "163012347",
            "telephone_number": "814-677-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION SOURCE MEADVILLE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VISION SOURCE MEADVILLE LLC",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "ADSIT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "814-333-6606"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000417",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002385",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000659",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oil City Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Oil City, PA
• Providers in Oil City, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.