Prime Vista

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRIME VISTA

Practice address

1103 Walls Church Rd
Ellenboro, NC 28040-8640

Phone

(909) 670-2881

NPI assigned

Apr 6, 2026

Last updated

Apr 9, 2026By 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

Elizabeth Darlene Lovelace

Title

Owner

Phone

(190) 967-0288

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1679415095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 WALLS CHURCH RD",
            "city": "ELLENBORO",
            "state": "NC",
            "postal_code": "280408640",
            "telephone_number": "909-670-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 WALLS CHURCH RD",
            "city": "ELLENBORO",
            "state": "NC",
            "postal_code": "280408640",
            "telephone_number": "909-670-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME VISTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "LOVELACE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "DARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "190-967-0288"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Annette Miller, LICENSED OPTICIAN
• Moving Forward Pediatric Services
• New Generations Inc.
• Person 1St LLC
• Albertine Pierre
• Primevista LLC
• Red Oak Residential, LLC (The Foothills at Red Oak Recovery)
• Glenda A Robbins
• Shanova Solutions LLC
• Paul Leo Tecklenberg, MD

• Durable Medical Equipment & Medical Supplies in Ellenboro, NC
• Providers in Ellenboro, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.