Unique-U LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

License

S7159 Issued in OH

Legal business name

UNIQUE-U LLC

Practice address

163 James Way
Marion, OH 43302

Phone

(740) 389-1300

NPI assigned

Oct 3, 2006

Last updated

Mar 26, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jeramiah Thomas Donelson, LDO

Title

Owner

Phone

(740) 389-1300

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1013002492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 JAMES WAY",
            "city": "MARION",
            "state": "OH",
            "postal_code": "43302",
            "telephone_number": "740-389-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 JAMES WAY",
            "city": "MARION",
            "state": "OH",
            "postal_code": "43302",
            "telephone_number": "740-389-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE-U LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "DONELSON",
        "authorized_official_first_name": "JERAMIAH",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-389-1300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "S7159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2621416",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optician in Marion, OH
• Providers in Marion, OH by specialty
• Optician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.