Direct Mobile Vision, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DIRECT MOBILE VISION, PLLC

Practice address

3965 75TH St # 105
Aurora, IL 60504-7925

Phone

(815) 260-6884

NPI assigned

Apr 24, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Cameron Edwards, OD

Title

Optometrist

Phone

(773) 812-6407

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Lindsey Stull, O.D

  • Vision Therapy Optometrist
  • Naperville, IL
  • NPI 1396940920
  NPD (past)
• Lana Schiferl

  • Optometrist
  • Greendale, WI
  • NPI 1467199067
  NPD (past)

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1467072942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3965 75TH ST # 105",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047925",
            "telephone_number": "815-260-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 75TH ST # 105",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047925",
            "telephone_number": "815-260-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT MOBILE VISION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-24",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "CAMERON",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "773-812-6407",
        "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": []
}

• Charlotte Ann Dillon, PH.D.
• Charisse Dimaria, APN
• Dinesh J Patel DDS PC (EOLA Dental)
• Cecilianan Ding
• Binh T Dinh, PHARMD
• Naveen Divakaruni, DO
• Jill E Divita, R.N
• Cameo Alexis Dixon
• DMJ Home Health Services, Inc
• Malaya Bryonn Dobbins

• Optometrist in Aurora, IL
• Providers in Aurora, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.