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VISION SOURCE INC NPI 1740494277


NPI Information

NPI: 1740494277
Provider Name: VISION SOURCE INC
Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
23609 LORAIN RD
NORTH OLMSTED, OH
ZIP 44070
Phone: (440) 734-9920
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VISION SOURCE INC is a corneal and contact management optometrist in North Olmsted, OH. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. VISION SOURCE INC NPI is 1740494277. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

23609 LORAIN RD
NORTH OLMSTED, OH
ZIP 44070-222
Phone: (440) 734-9920
Fax: (440) 734-2870

The provider's authorized official is Thomas M Bobst .
The authorized official title is President and has the following contact phone number (440) 734-9920.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 1/18/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WC0802XOptometristCorneal and Contact Management3651OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10883480001MEDICARE NSCOHIO
20578511MEDICARE PINOHIO
3T48345MEDICARE UPINOHIO
40507062MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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