North Coast Optical

Primary specialty

OptometristTaxonomy code 152W00000X

License

4001 Issued in OH

Legal business name

NORTH COAST OPTICAL

Practice address

6380 N Ridge Rd
Madison, OH 44057-2548

Phone

(440) 428-2172

Fax

(440) 428-8677

NPI assigned

Jul 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mark A Bashore, O.D.NPI 1710049085

Title

Owner

Phone

(440) 428-2172

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Andrew Bashore, O.D.

  • Optometrist
  • Madison, OH
  • NPI 1710049085
  Medicare reassignment NPD Authorized official
• Ryan Zaidinski, OD

  • Optometrist
  • Madison, OH
  • NPI 1255952669
  Medicare reassignment NPD

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1013116201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6380 N RIDGE RD",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440572548",
            "telephone_number": "440-428-2172",
            "fax_number": "440-428-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6380 N RIDGE RD",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440572548",
            "telephone_number": "440-428-2172",
            "fax_number": "440-428-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "BASHORE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-428-2172",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Avenues to Independence, Inc.
• Kymberly Ann Nicholas, D.P.T.
• Lori Ann Nicholson, LPN
• Nick J Donch
• Sean J Nick, PT, DPT
• Ruth Ann North
• Northern Dental Specialists, Dr. Steven W Gajda
• Sherrie Northrup, AT
• Michele Lee Nusker, CDCA
• Daniel William O'Neill, PHARMD

• Optometrist in Madison, OH
• Providers in Madison, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.