Active NPI
Hometown Vision Center Inc
- Optometrist
- N Kingsville, OH
National Provider Identifier
1003975327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 04039165
- Legal business name
- HOMETOWN VISION CENTER INC
- Practice address
- 6427 S Main St
N Kingsville, OH 44068-0509 - Phone
- (440) 224-2141
- Fax
- (440) 224-2436
- NPI assigned
- Dec 6, 2006
- 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
- Dr. Ronald Alan Wheeler, O.D
- Title
- Optometrist
- Phone
- (440) 224-2141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 04039165 | OH | Primary |
Addresses
Primary practice location
6427 S Main St
N Kingsville, OH 44068-0509
Mailing address
6427 S Main St
P.O. Box 509
North Kingsville, OH 44068-0509
Phone (440) 224-2141
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60054 | Other | OH | AETNA |
| 285641915009 | Other | OH | MEDICAL MUTUAL |
| 0518596 | Medicaid | OH | |
| 410001554 | Other | OH | RAILROAD MEDICARE |
| 000000282169 | Other | OH | ANTHEM BLUE CROSS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353369600000",
"number": "1003975327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6427 S MAIN ST",
"address_2": "P.O. BOX 509",
"city": "NORTH KINGSVILLE",
"state": "OH",
"postal_code": "440680509",
"telephone_number": "440-224-2141",
"fax_number": "440-224-2436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6427 S MAIN ST",
"city": "N KINGSVILLE",
"state": "OH",
"postal_code": "440680509",
"telephone_number": "440-224-2141",
"fax_number": "440-224-2436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMETOWN VISION CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2012-11-20",
"status": "A",
"authorized_official_last_name": "WHEELER",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "440-224-2141",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "OH",
"license": "04039165",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "60054",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL",
"identifier": "285641915009",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0518596",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410001554",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "000000282169",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in N Kingsville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.