Organization Active NPI

Vision Rehab & Development Center

  • Optometrist
  • Mechanicsburg, PA
National Provider Identifier
1588129241
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION REHAB & DEVELOPMENT CENTER
Practice address
5010 Carlisle Pike
Mechanicsburg, PA 17050-2401
Phone
(717) 695-4852
NPI assigned
Feb 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Authorized official

Name
Craig A Henry, OD
Title
Owner
Phone
(508) 837-3790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

5010 Carlisle Pike
Mechanicsburg, PA 17050-2401

Mailing address

PO Box J
Raynham, MA 02767-0309
Phone (508) 837-3790

National Provider Directory

National Provider Directory

Locations

5010 Carlisle Pike
Mechanicsburg, PA 17050
Phone (717) 695-4852

NPI Registry JSON

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1588129241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX J",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027670309",
            "telephone_number": "508-837-3790",
            "fax_number": "508-484-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 CARLISLE PIKE",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170502401",
            "telephone_number": "717-695-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION REHAB & DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-837-3790",
        "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": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.