MVP Vision LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTG00539 Issued in RI

Legal business name

MVP VISION LLC

Practice address

1180 Fall River Ave
Walmart Vision Center
Seekonk, MA 02771

Phone

(508) 336-5115

Fax

(508) 336-6913

NPI assigned

Oct 14, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael V Peters, OD

Title

Owner

Phone

(508) 336-5115

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1350172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1851643993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8429",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029200429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 FALL RIVER AVE",
            "address_2": "WALMART VISION CENTER",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "02771",
            "telephone_number": "508-336-5115",
            "fax_number": "508-336-6913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Washington St",
            "address_2": "Walmart Vision Center - MVP Vision",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "MA",
            "postal_code": "017492735",
            "country_code": "US",
            "telephone_number": "978-568-1036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MVP VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-14",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-336-5115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Seekonk, MA
• Providers in Seekonk, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.