Thomas J. Overberg, O.D., Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

3431 Issued in OH

Legal business name

THOMAS J. OVERBERG, O.D., INC.

Practice address

1114 E State St
Fremont, OH 43420-4358

Phone

(419) 334-2646

Fax

(419) 334-9084

NPI assigned

Jul 29, 2008

Organization subpart

No

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

Authorized official

Name

Thomas J Overberg, O.D.

Title

President

Phone

(419) 334-2646

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Thomas Wesley Meade, O.D.

  • Optometrist
  • Fremont, OH
  • NPI 1962586040
  NPD (past)
• Tia Marie Tucker, O.D.

  • Optometrist
  • Toledo, OH
  • NPI 1134434350
  NPD (past)

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1013173186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1227",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434208227",
            "telephone_number": "416-334-2646",
            "fax_number": "419-334-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 E STATE ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434204358",
            "telephone_number": "419-334-2646",
            "fax_number": "419-334-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J. OVERBERG, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "OVERBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-334-2646",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "3431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Fremont, OH
• Providers in Fremont, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.