Pro Vision Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

5127 Issued in MA

Legal business name

PRO VISION CARE LLC

Practice address

2034A Centre St
West Roxbury, MA 02132

Phone

(617) 469-8733

NPI assigned

Nov 5, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yanpeng Ding, ODNPI 1053780692

Title

Manager

Phone

(617) 469-8733

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yanpeng Ding

  • Optometrist
  • West Roxbury, MA
  • NPI 1053780692
  Medicare reassignment Authorized official
• Rosalie Reszelbach, O.D.

  • Corneal and Contact Management Optometrist
  • West Roxbury, MA
  • NPI 1720152291
  NPD (past)
• Hong Ji, O.D.

  • Optometrist
  • Nanuet, NY
  • NPI 1386905537
  NPD (past)

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1841663374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034A CENTRE ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "02132",
            "telephone_number": "617-469-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034A CENTRE ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "02132",
            "telephone_number": "617-469-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "DING",
        "authorized_official_first_name": "YANPENG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-469-8733",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan F. Pratt, CRNA
• Tracey Presley, MSW, LICSW
• Preventive Medicine Associates
• Asia Price
• Rebecca Priest
• Kelly Helen Provencher, RN,MSN,BC
• Charles Gordon Pye IV, RN
• Jinjin Qian Tsuchida, RPH
• Meghan M Quilter, PHARMD
• Jacquelyn A Quin, M.D.

• Optometrist in West Roxbury, MA
• Providers in West Roxbury, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.