Healthcare Provider Details

I. General information

NPI: 1699576025
Provider Name (Legal Business Name): VILLAGE VISION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2025
Last Update Date: 03/21/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12082 SYCAMORE TRACE
PLAIN CITY OH
43064-4400
US

IV. Provider business mailing address

10380 HAZELNUT DR
PLAIN CITY OH
43064-2569
US

V. Phone/Fax

Practice location:
  • Phone: 614-429-1101
  • Fax: 614-633-1993
Mailing address:
  • Phone: 614-886-3388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. STEPHANIE SIMS
Title or Position: OWNER/OPTOMETRIST
Credential: OD
Phone: 614-886-3388