Optical Solutions 3 LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3166T1622 Issued in OH

Legal business name

OPTICAL SOLUTIONS 3 LLC

Practice address

2658 Niles Cortland Rd SE
Warren, OH 44484-3871

Phone

(330) 349-4690

Fax

(330) 349-4694

NPI assigned

Nov 25, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Ronald L Detwiler, O.D.

Title

Owner/Doctor

Phone

(330) 349-4690

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1104223726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2658 NILES CORTLAND RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444843871",
            "telephone_number": "330-349-4690",
            "fax_number": "330-349-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2658 NILES CORTLAND RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444843871",
            "telephone_number": "330-349-4690",
            "fax_number": "330-349-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL SOLUTIONS 3 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "DETWILER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "330-349-4690",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3166T1622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly E Ondash, LPC
• Theodore F Opalka Jr., D.D.S., M.S.
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• Stephanie Dawn Ostetrico, CNP
• Kenneth Marshall Overholt Jr., RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.