Adam Fannin, OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ADAM FANNIN, OD LLC

Practice address

540 Harry Sauner Rd
Hillsboro, OH 45133-8298

Phone

(937) 840-0760

NPI assigned

Nov 30, 2018

Last updated

Nov 30, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Adam J Fannin, ODNPI 1043567332

Title

Ceo

Phone

(937) 515-3072

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adam J Fannin, O.D.

  • Optometrist
  • Batesville, IN
  • NPI 1043567332
  NPD Authorized official

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1063982205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 HARRY SAUNER RD",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451338298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 HARRY SAUNER RD",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451338298",
            "telephone_number": "937-840-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM FANNIN, OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "FANNIN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-515-3072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 360 Fit Life, Inc. (Hospice Care of Ohio)
• Kathryn J Abernathy, LMT
• Christina Michelle Adams, LMT
• Melissa Adams
• Adena Health System (Adena Health Center Hillsboro)
• Adena Health System (Adena Health Center Hillsboro)
• John A Adesioye, MD

• Optometrist in Hillsboro, OH
• Providers in Hillsboro, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.