Vision Source Meadville LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000417 Issued in PA

Legal business name

VISION SOURCE MEADVILLE LLC

Doing business as

Oil City Eye Associates
Vision Source Titusville

Practice address

1073 S Main St
Meadville, PA 16335-3129

Phone

(814) 333-6606

NPI assigned

Dec 8, 2017

Organization subpart

Yes

Parent organization

VISION SOURCE MEADVILLE LLCAs reported in NPPES

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

Authorized official

Name

Kimberly J Adsit

Title

Business Manager

Phone

(814) 333-6606

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 2

• Oil City Eye Associates Doing business as
• Vision Source Titusville Doing business as

Tax ID family

Vision Source Meadville LLC2 organizations share this tax ID, including this one

Part of

Vision Source Meadville LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vision Source Meadville LLC

  dba Oil City Eye Associates

  • Optometrist
  • Oil City, PA
  • NPI 1295240406
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Vision Source Meadville, LLC

  • Optometrist
  • Meadville, PA
  • NPI 1134475007
  NPPES parent name

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1467967794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1073 S MAIN ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 S MAIN ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353129",
            "telephone_number": "814-333-6606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Oil City",
            "state": "PA",
            "postal_code": "163012347",
            "country_code": "US",
            "telephone_number": "814-677-2066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 N Franklin St",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "PA",
            "postal_code": "163541761",
            "country_code": "US",
            "telephone_number": "814-824-7931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VISION SOURCE MEADVILLE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VISION SOURCE MEADVILLE LLC",
        "enumeration_date": "2017-12-08",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "ADSIT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "814-333-6606"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000417",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002385",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000659",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031405540001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oil City Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vision Source Titusville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Vision Source Meadville, LLC
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• Jennie M Votava, M.D.
• Deborah C Vrablik, PT
• Ronald Michael Vrablik, MD

• Optometrist in Meadville, PA
• Providers in Meadville, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.