EXODUS VISION, LLC (NPI# 1245504471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245504471 |
| 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 |
2580 Anthem Village Dr Henderson NV 89052-5503 |
| Practice Telephone | 5852540022 |
| Mailing Telephone | 5852540022 |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-06-01 |
| Authorized Official Name | ERICA MARIE LIECHTY (ADMIN MANAGER) |
| Authorized Official Telephone | 5749359827 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Vision Center at Meijer | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215205679 | Exodus Vision, LLC | Clinic/Center | 1260 Lyell Ave, Rochester, NY 14606-2040 | 2011-12-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | EXODUS VISION, LLC | 1260 Lyell Ave, Rochester, NY 14606 |
| 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 |
| 1215205679 | Exodus Vision, LLC | Clinic/Center | 1260 Lyell Ave, Rochester, NY 14606-2040 | 2011-12-13 |
| 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 | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033717277 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 300 Bellwood Dr, Rochester, NY 14606-4262 | 2020-10-10 |
| 1053977421 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1620 Broadway Ave S Ste 4, Rochester, MN 55904-7927 | 2019-05-11 |
| 1740633031 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2854 41st St Nw, Suite 103, Rochester, MN 55901-7825 | 2016-07-21 |
| 1588036479 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 600 Jefferson Rd, Suite 3, Rochester, NY 14623-3230 | 2015-10-30 |
| 1396139838 | Strong Optical Shop | Eyewear Supplier (Equipment, not the service) | 1317 Mount Hope Ave, Rochester, NY 14620-3923 | 2015-03-23 |
| 1538553268 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 335 Westfall Road, Rochester, NY 14620 | 2015-03-19 |
| 1962801878 | The Association for The Blind and Visually Impaired - Goodwill Industr | Eyewear Supplier (Equipment, not the service) | 500 S Clinton Ave, Rochester, NY 14620-1198 | 2014-08-15 |
| 1316271695 | Highlander Healthcare Supply Services Inc | Eyewear Supplier (Equipment, not the service) | 847 Goodman St S, Rochester, NY 14620-2523 | 2009-09-20 |
| 1700018363 | Kls Optical Inc. | Eyewear Supplier (Equipment, not the service) | 215 Elton Hills Dr Nw, #26, Rochester, MN 55901-2482 | 2009-08-17 |
| 1891982724 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4611 Main Ave Se, Rochester, MN 55904-5904 | 2007-09-25 |
| Find all providers in ROCHESTER | ||||
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| 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.