Organization Active NPI

Vision Service Corporation

  • Eyewear Supplier
  • Trotwood, OH
National Provider Identifier
1366639148
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
4807T1649 Issued in OH
Legal business name
VISION SERVICE CORPORATION
Doing business as
EYE MART
Practice address
5274 Salem Ave
Trotwood, OH 45426-1702
Phone
(937) 837-3937
Fax
(937) 837-2540
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Dr. Charles Robert Taylor, O.D.
Title
Owner
Phone
(812) 475-0035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 4807T1649 OH Primary

Addresses

Primary practice location

5274 Salem Ave
Trotwood, OH 45426-1702

Mailing address

4810 Tecumseh LN
Evansville, IN 47715-3220
Phone (812) 475-0035

Other names 1

  • EYE MART Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1366639148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 TECUMSEH LN",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477153220",
            "telephone_number": "812-475-0035",
            "fax_number": "812-477-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5274 SALEM AVE",
            "city": "TROTWOOD",
            "state": "OH",
            "postal_code": "454261702",
            "telephone_number": "937-837-3937",
            "fax_number": "937-837-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-475-0035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "4807T1649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYE MART",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trotwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.