Organization Active NPI

Vision Service Corporation

  • Optometrist
  • Dayton, OH
National Provider Identifier
1659649036
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION SERVICE CORPORATION
Doing business as
Eye Mart
Practice address
2735 Miamisburg Centerville Rd
Dayton, OH 45459-3729
Phone
(937) 435-4060
NPI assigned
Dec 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Kimberly Ann Short
Title
Controller
Phone
81247500354

Specialties & licenses 1

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

Addresses

Primary practice location

2735 Miamisburg Centerville Rd
Dayton, OH 45459-3729

Mailing address

4810 Tecumseh LN
Evansville, IN 47715-3220
Phone (812) 475-0035

Other names 1

  • Eye Mart Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eye Mart3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2735 Miamisburg Centerville Rd
Dayton, OH 45459
Phone (937) 399-4060

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1659649036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 TECUMSEH LN",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477153220",
            "telephone_number": "812-475-0035",
            "fax_number": "812-477-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 MIAMISBURG CENTERVILLE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593729",
            "telephone_number": "937-435-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "81247500354"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Mart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.