Sprout Vision Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

5542 Issued in OH

Legal business name

SPROUT VISION CENTER LLC

Practice address

316 2ND St
Marietta, OH 45750-2919

Phone

(740) 374-3937

NPI assigned

Dec 10, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Holly Sprout, ODNPI 1316966823

Title

Optometrist

Phone

(740) 374-3937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

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

• Holly Laraine Sprout, O.D.

  • Optometrist
  • Marietta, OH
  • NPI 1316966823
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1972934339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 2ND ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502919",
            "telephone_number": "740-374-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 2ND ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502919",
            "telephone_number": "740-374-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUT VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "SPROUT",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "740-374-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "5542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Cristina Spallinger
• Paul F. Spear, R.N.,A.T.C.
• David Spears, DO
• Jennifer Alexis Spencer, CDCA, BA
• Spero Health
• Holly Laraine Sprout, O.D.
• Deborah Staats
• Mya Stahl
• Rick W Stalnaker, PA-C
• Stephen Robert Stanley, DO

• Clinic/Center in Marietta, OH
• Providers in Marietta, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.