Active NPI
Ravenna Optical Inc
- Optometrist
- Ravenna, OH
National Provider Identifier
1063520765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- RAVENNA OPTICAL INC
- Practice address
- 223 W Main St
Ravenna Optical Inc
Ravenna, OH 44266 - Phone
- (330) 297-1419
- Fax
- (330) 296-2808
- NPI assigned
- Aug 25, 2006
- 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
- Mr. John Turker Apaydin, LDO SC
- Title
- President
- Phone
- (330) 297-1419
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
223 W Main St
Ravenna Optical Inc
Ravenna, OH 44266
Mailing address
223 W Main St
Ravenna Optical Inc
Ravenna, OH 44266
Phone (330) 297-1419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0091387 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
223 W Main St
Ravenna, OH 44266
Phone (330) 297-1419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1063520765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 W MAIN ST",
"address_2": "RAVENNA OPTICAL INC",
"city": "RAVENNA",
"state": "OH",
"postal_code": "44266",
"telephone_number": "330-297-1419",
"fax_number": "330-296-2808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 W MAIN ST",
"address_2": "RAVENNA OPTICAL INC",
"city": "RAVENNA",
"state": "OH",
"postal_code": "44266",
"telephone_number": "330-297-1419",
"fax_number": "330-296-2808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAVENNA OPTICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "APAYDIN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "TURKER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-297-1419",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LDO SC"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0091387",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ravenna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.