Optometric Care Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

3079 Issued in OH

Legal business name

OPTOMETRIC CARE INC

Practice address

498 W Hunter St
Logan, OH 43138-1105

Phone

(740) 385-4017

Fax

(740) 385-7666

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Milton Cornell Mason, O.D.

Title

Owner

Phone

(740) 385-4017

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1053532994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 W HUNTER ST",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431381105",
            "telephone_number": "740-385-4017",
            "fax_number": "740-385-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 W HUNTER ST",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431381105",
            "telephone_number": "740-385-4017",
            "fax_number": "740-385-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "CORNELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-385-4017",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "OH",
            "license": "3079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0322976",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Logan, OH
• Providers in Logan, OH by specialty
• Point of Service in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.