Eyedeology Vision Center LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EYEDEOLOGY VISION CENTER LLC

Practice address

3629 N Lindbergh Blvd
Saint Ann, MO 63074-2106

Phone

(314) 739-3937

NPI assigned

Sep 20, 2016

Last updated

Sep 20, 2016By 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

Mr. Robert Anthony Dobynes Jr.

Title

Owner

Phone

(314) 518-3617

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1659829505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 N LINDBERGH BLVD",
            "city": "SAINT ANN",
            "state": "MO",
            "postal_code": "630742106",
            "telephone_number": "314-739-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3629 N LINDBERGH BLVD",
            "city": "SAINT ANN",
            "state": "MO",
            "postal_code": "630742106",
            "telephone_number": "314-739-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEDEOLOGY VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "DOBYNES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-518-3617",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.