NPIMap

Organization Active NPI

Professional Eye Care Associates, Inc.

  • Optometrist
  • Columbus, OH
National Provider Identifier
1043291966
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PROFESSIONAL EYE CARE ASSOCIATES, INC.
Practice address
553 E Town St
Columbus, OH 43215-4856
Phone
(614) 461-1885
Fax
(614) 461-5730
NPI assigned
Nov 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
Dr. David P. Dickson, O.D.
Title
President
Phone
(614) 461-1885

Specialties & licenses 1

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

Addresses

Primary practice location

553 E Town St
Columbus, OH 43215-4856

Mailing address

553 E Town St
Columbus, OH 43215-4856
Phone (614) 461-1885

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1043291966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 E TOWN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154856",
            "telephone_number": "614-461-1885",
            "fax_number": "614-461-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 E TOWN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154856",
            "telephone_number": "614-461-1885",
            "fax_number": "614-461-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL EYE CARE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-461-1885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.