Healthcare Provider Details

I. General information

NPI: 1831019587
Provider Name (Legal Business Name): TIMELESS VISION INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6396 THORNBERRY CT STE 710
MASON OH
45040-7815
US

IV. Provider business mailing address

6396 THORNBERRY CT STE 710
MASON OH
45040-7815
US

V. Phone/Fax

Practice location:
  • Phone: 614-526-8744
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: AMAR PANKAJ SHAH
Title or Position: OWNER
Credential: MD, MBA
Phone: 614-526-8744