Active NPI
Vision Innovation Centers of Pennsylvania LLC
- Optician
- Carbondale, PA
National Provider Identifier
1891365136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- VISION INNOVATION CENTERS OF PENNSYLVANIA LLC
- Practice address
- 150 Brooklyn St
Carbondale, PA 18407-2274 - Phone
- (570) 282-7188
- NPI assigned
- Jun 29, 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
- Maria C Scott
- Title
- Owner
- Phone
- (410) 571-7998
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
150 Brooklyn St
Carbondale, PA 18407-2274
Mailing address
703 Rutter Ave
Kingston, PA 18704-4801
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741305600000",
"number": "1891365136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 RUTTER AVE",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187044801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 BROOKLYN ST",
"city": "CARBONDALE",
"state": "PA",
"postal_code": "184072274",
"telephone_number": "570-282-7188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISION INNOVATION CENTERS OF PENNSYLVANIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-29",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-571-7998"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carbondale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.