Active NPI
Prestige Worldwide Vision, LLC
- Optometrist
- Wellington, OH
National Provider Identifier
1831769645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- PRESTIGE WORLDWIDE VISION, LLC
- Practice address
- 805 Patriot Dr Ste E
Wellington, OH 44090-8951 - Phone
- (440) 647-5700
- Fax
- (440) 647-5703
- NPI assigned
- Jun 25, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie E Hill, OD
- Title
- Optometrist
- Phone
- (419) 202-8106
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
805 Patriot Dr Ste E
Wellington, OH 44090-8951
Mailing address
805 Patriot Dr Ste E
Wellington, OH 44090-8951
Phone (440) 647-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220408002003 | OH | Part B Supplier - Clinic/Group Practice | 8022404581 |
Receives reassigned benefits from 3 practitioners Practice locations: Wellington, OH |
National Provider Directory
National Provider DirectoryPractitioners 3
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": "1624579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624579200000",
"number": "1831769645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 PATRIOT DR STE E",
"city": "WELLINGTON",
"state": "OH",
"postal_code": "440908951",
"telephone_number": "440-647-5700",
"fax_number": "440-647-5703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 PATRIOT DR STE E",
"city": "WELLINGTON",
"state": "OH",
"postal_code": "440908951",
"telephone_number": "440-647-5700",
"fax_number": "440-647-5703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESTIGE WORLDWIDE VISION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-25",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "419-202-8106",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.