Mall Vision Center, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MALL VISION CENTER, LLC

Practice address

113 Corporation St
Hyannis, MA 02601-2204

Phone

(508) 778-9473

Fax

(508) 775-5913

NPI assigned

Oct 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Wendy J. Leslie, O.D.NPI 1255307930

Title

Owner/Optometrist

Phone

(508) 778-9473

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wendy J Leslie, O.D.

  • Optometrist
  • Hyannis, MA
  • NPI 1255307930
  Medicare reassignment Care Compare group NPD Authorized official
• Lixin Zhang, OD

  • Optometrist
  • Boston, MA
  • NPI 1659055424
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1326237306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CORPORATION ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026012204",
            "telephone_number": "508-778-9473",
            "fax_number": "508-775-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CORPORATION ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026012204",
            "telephone_number": "508-778-9473",
            "fax_number": "508-775-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALL VISION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "LESLIE",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "508-778-9473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew William Majewski, D.C.
• Catherine Rose Major, MSN,FNP-BC,PMHNP-BC
• Karen Malchiodi, CRNA
• Heather Canterbury Lowes Malcomson, NP
• Malek Esrawi DMD. PC
• Darcy Mallowes, RN
• Molly Malone
• Mamdouh Riad MD PC
• Amy Elizabeth Manfredi, MED.
• Eileen Gallagher Manganella, MSW, LCSW

• Durable Medical Equipment & Medical Supplies in Hyannis, MA
• Providers in Hyannis, MA by specialty
• Durable Medical Equipment & Medical Supplies in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.