Mobile America Visioncare, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MOBILE AMERICA VISIONCARE, INC.

Practice address

570 N. State Street
Suite 210
Westerville, OH 43082-7135

Phone

(614) 596-3183

Fax

(614) 259-6554

NPI assigned

May 4, 2007

Last updated

Sep 16, 2013By 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

Carole R Burns, O.D.

Title

Owner/Coo

Phone

(614) 314-7042

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1720290208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 N. STATE STREET",
            "address_2": "SUITE 210",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827135",
            "telephone_number": "614-596-3183",
            "fax_number": "614-259-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 N. STATE STREET",
            "address_2": "SUITE 210",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827135",
            "telephone_number": "614-596-3183",
            "fax_number": "614-259-6554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE AMERICA VISIONCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/COO",
        "authorized_official_telephone_number": "614-314-7042",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0784549",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph A Mitchell, DDS
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• Amy Kathleen Mock, RN, CNP
• Megan Modene
• Modern Medical, Inc. (Optum Workers Compensation Medical Services)
• Moena Home Healthcare Services

• Optometrist in Westerville, OH
• Providers in Westerville, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.