Active NPI
Opticare Inc
- Eyewear Supplier
- Mount Vernon, OH
National Provider Identifier
1003950460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 3286SC
- Legal business name
- OPTICARE INC
- Practice address
- 855 Coshocton Ave Ste 15
Mount Vernon, OH 43050-1975 - Phone
- (740) 392-7851
- Fax
- (740) 392-3515
- NPI assigned
- Feb 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gerald Dean Sherman, LDO
- Title
- President
- Phone
- (740) 392-7851
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 3286SC | OH | Primary |
Addresses
Primary practice location
855 Coshocton Ave Ste 15
Mount Vernon, OH 43050-1975
Mailing address
855 Coshocton Ave Ste 15
Mount Vernon, OH 43050-1975
Phone (740) 392-7851
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0384249 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
855 Coshocton Ave
Ste 15
Mount Vernon, OH 43050
Phone (740) 392-7851
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Columbus, OH
- NPI 1700018520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357603200000",
"number": "1003950460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 COSHOCTON AVE STE 15",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430501975",
"telephone_number": "740-392-7851",
"fax_number": "740-392-3515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 COSHOCTON AVE STE 15",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430501975",
"telephone_number": "740-392-7851",
"fax_number": "740-392-3515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTICARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-19",
"last_updated": "2013-01-08",
"status": "A",
"authorized_official_last_name": "SHERMAN",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "DEAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "740-392-7851",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LDO"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "OH",
"license": "3286SC",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0384249",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.