Provider Demographics
NPI:1699576025
Name:VILLAGE VISION
Entity type:Organization
Organization Name:VILLAGE VISION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:614-886-3388
Mailing Address - Street 1:10380 HAZELNUT DR
Mailing Address - Street 2:
Mailing Address - City:PLAIN CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43064-2569
Mailing Address - Country:US
Mailing Address - Phone:614-886-3388
Mailing Address - Fax:
Practice Address - Street 1:12082 SYCAMORE TRACE
Practice Address - Street 2:
Practice Address - City:PLAIN CITY
Practice Address - State:OH
Practice Address - Zip Code:43064-4400
Practice Address - Country:US
Practice Address - Phone:614-429-1101
Practice Address - Fax:614-633-1993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty