EXODUS VISION, LLC (NPI# 1215205679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215205679 |
| Entity Type | Organization |
| Organization Name | EXODUS VISION, LLC |
| Other Organization Name | VISION CENTER AT MEIJER |
| Practice Address |
1260 Lyell Ave Rochester NY 14606-2040 |
| Mailing Address |
2191 Columbia Ave W Battle Creek MI 49015-2847 |
| Practice Telephone | 5852540022 |
| Practice Fax Number | 5852540132 |
| Mailing Telephone | 2699681600 |
| Mailing Fax Number | 2699681600 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |
| Authorized Official Name | MR. PATRICK HO (CEO) |
| Authorized Official Telephone | 5852540022 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 152W00000X | Optometrist | MI | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Vision Center at Meijer | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245504471 | Exodus Vision, LLC | Eyewear Supplier (Equipment, not the service) | 1260 Lyell Ave, Rochester, NY 14606-2040 | 2012-03-06 |
| Street Address |
1260 LYELL AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14606-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669439725 | Vision Associates of Rochester | Optometrist | 1260 Lyell Ave, Rochester, NY 14606-2040 | 2006-05-01 |
| 1245504471 | Exodus Vision, LLC | Eyewear Supplier (Equipment, not the service) | 1260 Lyell Ave, Rochester, NY 14606-2040 | 2012-03-06 |
| 1982734463 | His Vision | Eyewear Supplier (Equipment, not the service) | 1260 Lyell Ave, Rochester, NY 14606-2040 | 2007-03-06 |
| 1093741233 | Harold John Roberts | Optometrist | 1260 Lyell Ave, Rochester, NY 14606 | 2006-06-22 |
| 1871551374 | Steven Frederick Hickey | Technician/Technologist | 1260 Lyell Ave, Rochester, NY 14606-2040 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047686 | Katherine Anne Blakely | Social Worker | 100 Pinewild Drive, Second Floor Suite A, Rochester, NY 14606 | 2020-03-04 |
| 1023501855 | Diana Moskalyuk | Registered Nurse | 57 Gates Manor Dr, Rochester, NY 14606 | 2018-06-06 |
| 1245732221 | Daphne Bell | Driver | 79 Curlew St., Rochester, NY 14606 | 2018-03-06 |
| 1275031171 | Meghan Elizabeth Wallace | Social Worker | 1305 Lyell Avenue, Rochester, NY 14606 | 2018-01-25 |
| 1114277860 | Debra A Bucklaew | Registered Nurse | 57 Baier Dr, Rochester, NY 14606 | 2012-09-10 |
| 1427327998 | Charita Y Murray | Licensed Practical Nurse | 48 Rogers Ave., Rochester, NY 14606 | 2011-12-29 |
| 1649556804 | Jamila Kali Miller | Family Medicine | 110 Canton St, Rochester, NY 14606 | 2011-11-01 |
| 1720375447 | Jasmine Marie Radcliff | Licensed Practical Nurse | 34 Ardella St, Rochester, NY 14606 | 2011-07-01 |
| 1104110766 | Ashly Jasmine Goodwill | Licensed Practical Nurse | 16 Glasser St, Rochester, NY 14606 | 2011-06-01 |
| 1497067359 | Shahada D Ware | Licensed Practical Nurse | 222 Mcnaughton St., Rochester, NY 14606 | 2010-07-08 |
| Find all providers in zip 14606 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316588700 | Total Vision Eyecare, Pllc | Optometrist | 1630 Center St W, Rochester, MN 55902-0346 | 2019-10-07 |
| 1619529278 | Amanda Domagola | Optometrist | 451 Hollybrook Rd, Rochester, NY 14623-4115 | 2019-07-14 |
| 1962062000 | Megan Elizabeth Hart | Optometrist | 3173 Chili Ave Ste 400, Rochester, NY 14624-5400 | 2019-06-20 |
| 1902310006 | Maria Annum | Optometrist | 3462 55th St Nw Ste 600, Rochester, MN 55901-0203 | 2017-11-28 |
| 1467964627 | Eric Lee Houghtaling | Optometrist | 2180 Monroe Ave Ste 1, Rochester, NY 14618-2410 | 2017-10-27 |
| 1942731682 | Bhend Family Eye Care, Pllc | Optometrist | 2650 S Broadway, Suite 400, Rochester, MN 55904-6262 | 2017-03-24 |
| 1770932147 | Ashley Mills | Optometrist | 10 Woodcrest Dr, Rochester, NY 14625 | 2016-06-07 |
| 1376957779 | David William Kenney | Optometrist | 3042 W Ridge Rd, Rochester, NY 14626-1676 | 2014-06-13 |
| 1801221346 | Anthony J Dell'anno | Optometrist | 2590 W Ridge Rd, Rochester, NY 14626-3041 | 2013-09-03 |
| 1972944668 | Marycarol Graby | Optometrist | 2301 Lac Deville Blvd, Rochester, NY 14618-5646 | 2013-07-10 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on EXODUS VISION, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.