Innovative Vision LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

5396 Issued in OH

Legal business name

INNOVATIVE VISION LLC

Practice address

9711 Montgomery Rd
Montgomery, OH 45242-7207

Phone

(513) 793-8486

Fax

(513) 793-2023

NPI assigned

Nov 13, 2007

Last updated

Jun 5, 2024By 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. Kevin Corcoran, ODNPI 1902863673

Title

Owner

Phone

(513) 793-8486

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

Locations

Practitioners 6

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.

• Kevin T Corcoran, OD

  • Optometrist
  • Cincinnati, OH
  • NPI 1902863673
  Medicare reassignment Care Compare group NPD Authorized official
• William Ryan Davis, OD

  • Optometrist
  • Blue Ash, OH
  • NPI 1033117528
  Medicare reassignment Care Compare group NPD
• Brian K Kuhlman, OD

  • Optometrist
  • Cincinnati, OH
  • NPI 1528096609
  Medicare reassignment Care Compare group
• Jessica D Hildenbrand, OD

  • Optometrist
  • Cincinnati, OH
  • NPI 1477592384
  NPD (past)
• Mark A Kuhlman, OD

  • Optometrist
  • Cincinnati, OH
  • NPI 1174621437
  NPD (past)
• Jason Singh, OD

  • Optometrist
  • Mason, OH
  • NPI 1427033687
  NPD (past)

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1912187402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 MONTGOMERY RD",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452427207",
            "telephone_number": "513-793-8486",
            "fax_number": "513-793-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 MONTGOMERY RD",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452427207",
            "telephone_number": "513-793-8486",
            "fax_number": "513-793-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "CORCORAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-793-8486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2225729",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hotel California by the Sea Cincinnati, LLC.
• Nathan L Huber, MD
• Laura Ann Huesman, ACNP
• Charron Ariel Humphrey
• Innovative Vision LLC
• J.F. Rowley Prosthetic and Orthotic Laboratories, Inc.
• Barbara Jackson
• David Alan Jackson, MD
• Alaina James, PA
• Lauren Marie Janowak, AGACNP-BC

• Optometrist in Montgomery, OH
• Providers in Montgomery, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.