Vision Source Inc

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

3651 Issued in OH

Legal business name

VISION SOURCE INC

Practice address

23609 Lorain Rd
North Olmsted, OH 44070-2222

Phone

(440) 734-9920

Fax

(440) 734-2870

NPI assigned

May 10, 2007

Last updated

Jan 18, 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

Dr. Thomas M Bobst, O.D.NPI 1346277126

Title

President

Phone

(440) 734-9920

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Matthew Bobst, O.D.

  • Corneal and Contact Management Optometrist
  • North Olmsted, OH
  • NPI 1346277126
  Medicare reassignment NPD Authorized official
• Ernest B Brazina, O.D.

  • Optometrist
  • North Olmsted, OH
  • NPI 1386608800
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1740494277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23609 LORAIN RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440702222",
            "telephone_number": "440-734-9920",
            "fax_number": "440-734-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23609 LORAIN RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440702222",
            "telephone_number": "440-734-9920",
            "fax_number": "440-734-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION SOURCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "BOBST",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-734-9920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OH",
            "license": "3651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0507062",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph C Vedda, DDS
• Joana Veizaj
• George Phillip Verlich, O.D.
• Colleen Vienna, DDS
• Kailey Vilyus
• Visionworks Inc (Visionworks)
• Vital Hydration & Wellness
• W a Jones Optical Co., Inc.
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2316)
• Wal-Mart Stores East, LP (Vision Center 30-2316)

• Corneal and Contact Management Optometrist in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• Corneal and Contact Management Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.