NPIMap

Organization Active NPI

Optique Family Vision Care

  • Optometrist
  • Washington Court House, OH
National Provider Identifier
1104076959
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3531 Issued in OH
Legal business name
OPTIQUE FAMILY VISION CARE
Practice address
109 S Main St
Washington Court House, OH 43160-2274
Phone
(740) 335-6305
Fax
(740) 335-1025
NPI assigned
Sep 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Dr. Grey L Eckert, OD
Title
Owner
Phone
(740) 335-6305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3531 OH Primary

Addresses

Primary practice location

109 S Main St
Washington Court House, OH 43160-2274

Mailing address

109 S Main St
Washington Court House, OH 43160-2274
Phone (740) 335-6305

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1104076959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S MAIN ST",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431602274",
            "telephone_number": "740-335-6305",
            "fax_number": "740-335-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S MAIN ST",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431602274",
            "telephone_number": "740-335-6305",
            "fax_number": "740-335-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIQUE FAMILY VISION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "ECKERT",
        "authorized_official_first_name": "GREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-335-6305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington Court House, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.