Organization Active NPI

Westgate Vision Center LLC

  • Optometrist
  • Toledo, OH
National Provider Identifier
1033128590
Registry record updated Mar 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3662 T390 Issued in OH
Legal business name
WESTGATE VISION CENTER LLC
Practice address
4011 Secor Rd
Toledo, OH 43623-4266
Phone
(419) 474-8833
Fax
(419) 474-8943
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2018

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

Authorized official

Name
Dr. Eric Hohenberger, O.D.
Title
Owner/Provider
Phone
(419) 474-8833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3662 T390 OH Primary

Addresses

Primary practice location

4011 Secor Rd
Toledo, OH 43623-4266

Mailing address

4011 Secor Rd
Toledo, OH 43623-4266
Phone (419) 474-8833

Other identifiers 1

IdentifierTypeStateIssuer
2443270MedicaidOH

National Provider Directory

National Provider Directory

Locations

4011 Secor Rd
Toledo, OH 43623
Phone (419) 474-8833

3128 Secor Rd
Toledo, OH 43606
Phone (419) 531-2628

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520553600000",
    "number": "1033128590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234266",
            "telephone_number": "419-474-8833",
            "fax_number": "419-474-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234266",
            "telephone_number": "419-474-8833",
            "fax_number": "419-474-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTGATE VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2018-03-09",
        "status": "A",
        "authorized_official_last_name": "HOHENBERGER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "419-474-8833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3662 T390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2443270",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.