National Provider Identifier
Exodus Vision, LLC
Exodus Vision, LLC is listed in the NPPES registry with a primary specialty of Optometrist in Rochester, NY and a listed phone number of (585) 254-0022.
Profile Overview
- NPI
- 1215205679
- Provider Type
- Organization
- Primary Specialty
- Optometrist
- Enumeration Date
- December 13, 2011
- Last Updated
- December 13, 2011
Practice Location
- 1260 Lyell Ave
- Rochester, NY 14606-2040
Phone: (585) 254-0022
Mailing Address
- 2191 Columbia Ave W
- Battle Creek, MI 49015-2847
Specialties
- Optometrist (152W00000X)
- Clinic/Center (261Q00000X)
Full Record
- NPI
- 1215205679
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Exodus Vision, LLC
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 2191 Columbia Ave W
- Mailing City
- Battle Creek
- Mailing State
- MI
- Mailing ZIP Code
- 49015-2847
- Mailing Country
- US
- Mailing Phone
- (269) 968-1600
- Mailing Fax
- (269) 968-1600
- Practice Street Address
- 1260 Lyell Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14606-2040
- Practice Country
- US
- Practice Phone
- (585) 254-0022
- Practice Fax
- (585) 254-0132
- Enumeration Date
- December 13, 2011
- Last Updated
- December 13, 2011
- Authorized Official Last Name
- Ho
- Authorized Official First Name
- Patrick
- Authorized Official Title
- CEO
- Authorized Official Phone
- (585) 254-0022
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Mr.
- Taxonomy Group 2
- 193400000X Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X), Clinic/Center (261Q00000X)