Envision Twenty Fifteen, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ENVISION TWENTY FIFTEEN, LLC

Doing business as

Loni Dickerhoof, OD

Practice address

4474 Everhard Rd NW
Canton, OH 44718-2418

Phone

(330) 312-0497

NPI assigned

Feb 10, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Loni Rae Rittenhouse, OD

Title

Owner

Phone

(330) 312-0497

Specialties & licenses 1

Addresses

Other names 1

• Loni Dickerhoof, OD Doing business as

Locations

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1366074106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 GLENNVIEW ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447211912",
            "telephone_number": "330-312-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4474 EVERHARD RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182418",
            "telephone_number": "330-312-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION TWENTY FIFTEEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "RITTENHOUSE",
        "authorized_official_first_name": "LONI",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-312-0497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loni Dickerhoof, OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.