Vision Express

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 4219 Issued in FL

Legal business name

VISION EXPRESS

Practice address

880 A1A N
Suite 13
Ponte Vedra Beach, FL 32082-3220

Phone

(904) 686-1386

Fax

(904) 686-1363

NPI assigned

Nov 11, 2008

Last updated

Jul 24, 2015By 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

David Erik Falden, OD

Title

Manager

Phone

(954) 682-4253

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437696000000",
    "number": "1952555427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 A1A N",
            "address_2": "SUITE 13",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823220",
            "telephone_number": "904-686-1386",
            "fax_number": "904-686-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 A1A N",
            "address_2": "SUITE 13",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823220",
            "telephone_number": "904-686-1386",
            "fax_number": "904-686-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION EXPRESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2015-07-24",
        "status": "A",
        "authorized_official_last_name": "FALDEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ERIK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-682-4253",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4176",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yurgita V Vaidya, PMHNP-BC
• Selma Vail, BCBA
• Dana B Ventouras, OTR/L
• Leah Nicole Veselits, LMHC
• Darian Vines, PHYSICIAN ASSISTANT
• Paul L Vitulli, DO
• Kyle Brendan Volland, PHARM.D.
• Stephanie Anne Voshell, HAS
• Janice Wachtel, PH.D.
• Bambi Lynn Wadelton, PLHD

• Optometrist in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.