Organization Active NPI

Opticare Inc

  • Eyewear Supplier
  • Mount Vernon, OH
National Provider Identifier
1003950460
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
3286SC Issued in OH
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

Updated by the provider on Jan 8, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0384249MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.