National Provider Identifier
Exodus Vision, LLC
Exodus Vision, LLC is listed in the NPPES registry with a primary specialty of Eyewear Supplier in Rochester, NY and a listed phone number of (585) 254-0022.
Profile Overview
- NPI
- 1245504471
- Provider Type
- Organization
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- March 06, 2012
- Last Updated
- June 01, 2012
Practice Location
- 1260 Lyell Ave
- Rochester, NY 14606-2040
Phone: (585) 254-0022
Mailing Address
- 2580 Anthem Village Dr
- Henderson, NV 89052-5503
Specialties
- Eyewear Supplier (332H00000X)
Full Record
- NPI
- 1245504471
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Exodus Vision, LLC
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 2580 Anthem Village Dr
- Mailing City
- Henderson
- Mailing State
- NV
- Mailing ZIP Code
- 89052-5503
- Mailing Country
- US
- Mailing Phone
- (585) 254-0022
- 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
- Enumeration Date
- March 06, 2012
- Last Updated
- June 01, 2012
- Authorized Official Last Name
- Liechty
- Authorized Official First Name
- Erica
- Authorized Official Middle Name
- Marie
- Authorized Official Title
- Admin Manager
- Authorized Official Phone
- (574) 935-9827
- Organization Subpart
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Eyewear Supplier (332H00000X)