Eye on Vision

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

340491 Issued in NY

Legal business name

EYE ON VISION

Practice address

230 S 7TH Ave Apt 6G
Mount Vernon, NY 10550-3838

Phone

(914) 564-0049

NPI assigned

Apr 29, 2017

Last updated

Apr 29, 2017By 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

Ms. Clarissa Jones-Edwards, MA, ED.M

Title

Owner/Teacher of the Blind/Partiall

Phone

(914) 564-0049

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1493424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493424000000",
    "number": "1639604424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S 7TH AVE APT 6G",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503838",
            "telephone_number": "914-564-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S 7TH AVE APT 6G",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503838",
            "telephone_number": "914-564-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ON VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-29",
        "last_updated": "2017-04-29",
        "status": "A",
        "authorized_official_last_name": "JONES-EDWARDS",
        "authorized_official_first_name": "CLARISSA",
        "authorized_official_title_or_position": "OWNER/TEACHER OF THE BLIND/PARTIALL",
        "authorized_official_telephone_number": "914-564-0049",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, ED.M"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "340491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4642",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2017; 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.