Cynthia J. Premeaux, O.D., LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

5816-T2730 Issued in OH

Legal business name

CYNTHIA J. PREMEAUX, O.D., LLC

Doing business as

Premier Vision

Practice address

6400 E Main St
Suite 101
Reynoldsburg, OH 43068-2359

Phone

(614) 759-9420

Fax

(614) 759-9520

NPI assigned

May 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Cynthia Joanne Premeaux, O.D.

Title

Optometrist/Member

Phone

(614) 759-9420

Specialties & licenses 1

Addresses

Other names 1

• Premier Vision Doing business as

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1326273970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7942 BRIANNA DR",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430047007",
            "telephone_number": "614-209-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 E MAIN ST",
            "address_2": "SUITE 101",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682359",
            "telephone_number": "614-759-9420",
            "fax_number": "614-759-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA J. PREMEAUX, O.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "PREMEAUX",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "JOANNE",
        "authorized_official_title_or_position": "OPTOMETRIST/MEMBER",
        "authorized_official_telephone_number": "614-759-9420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5816-T2730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.