Active NPI
Vision Rehab & Development Center
- Optometrist
- Mechanicsburg, PA
National Provider Identifier
1588129241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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 DirectoryLocations
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.