Vision Service Corporation

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

4807T1649 Issued in OH

Legal business name

VISION SERVICE CORPORATION

Doing business as

Eye Mart

Practice address

3464 Pentagon PRK Blvd
Beavercreek, OH 45431-1790

Phone

(937) 429-4060

Fax

(937) 429-9675

NPI assigned

Sep 26, 2007

Last updated

Jul 31, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles Robert Taylor, O.D.NPI 1174677066

Title

Owner

Phone

(812) 475-0035

Specialties & licenses 1

Addresses

Other names 1

• EYE MART Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Robert Taylor, OD

  • Optometrist
  • Evansville, IN
  • NPI 1174677066
  Authorized official Same address or phone

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": "1457548232",
    "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": "3464 PENTAGON PRK BLVD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454311790",
            "telephone_number": "937-429-4060",
            "fax_number": "937-429-9675"
        }
    ],
    "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_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"
        }
    ]
}

• Christina Veness
• Veterans Affairs Medical Center
• Victorian Health LLC
• Justin Vinson, D.C.
• Nicole Viola
• Vision Value (Stanton Optical)
• Visualeyes, Inc. (Beavercreek Vision Centrer)
• Ronald Anthony Vitullo, D.D.S.
• Alim Vivanco
• Greggory Scott Volk, D.O.

• Eyewear Supplier in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Eyewear Supplier in Ohio

• 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.