Active NPI
Vance & Teknipp Eye Care, LLC
- Optometrist
- Chardon, OH
National Provider Identifier
1013210053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5578
- Legal business name
- VANCE & TEKNIPP EYE CARE, LLC
- Practice address
- 602 South St
Suite B-14
Chardon, OH 44024-1499 - Phone
- (440) 285-5007
- Fax
- (440) 285-4313
- NPI assigned
- Dec 14, 2010
- 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. Trisha Barnes Vance, O.D.
- Title
- Optometrist
- Phone
- (614) 306-6294
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5578 | OH | Primary |
Addresses
Primary practice location
602 South St
Suite B-14
Chardon, OH 44024-1499
Mailing address
602 South St
Suite B-14
Chardon, OH 44024-1499
Phone (440) 285-5007
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292284800000",
"number": "1013210053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 SOUTH ST",
"address_2": "SUITE B-14",
"city": "CHARDON",
"state": "OH",
"postal_code": "440241499",
"telephone_number": "440-285-5007",
"fax_number": "440-285-4313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 SOUTH ST",
"address_2": "SUITE B-14",
"city": "CHARDON",
"state": "OH",
"postal_code": "440241499",
"telephone_number": "440-285-5007",
"fax_number": "440-285-4313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANCE & TEKNIPP EYE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-14",
"last_updated": "2010-12-14",
"status": "A",
"authorized_official_last_name": "VANCE",
"authorized_official_first_name": "TRISHA",
"authorized_official_middle_name": "BARNES",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "614-306-6294",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "OH",
"license": "5578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.