Mellett Vision Care, Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

495ASC Issued in OH

Legal business name

MELLETT VISION CARE, INC

Practice address

2428 Whipple Ave NW
Canton, OH 44708-1514

Phone

(330) 477-8531

Fax

(330) 477-8541

NPI assigned

Oct 13, 2006

Last updated

Aug 9, 2007By 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

Mr. Michael J Garcia, OPTICIAN

Title

Owner

Phone

(330) 477-8531

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Nathan David Borntrager, O.D

  • Optometrist
  • Canton, OH
  • NPI 1356570691
  NPD (past)
• Joseph L Nemeth III, O.D.

  • Optometrist
  • Canton, OH
  • NPI 1316938533
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1114017050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081514",
            "telephone_number": "330-477-8531",
            "fax_number": "330-477-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081514",
            "telephone_number": "330-477-8531",
            "fax_number": "330-477-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELLETT VISION CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-477-8531",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "495ASC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0623132",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaushal B Mehta, MD
• Meijer Stores Limited Partnership (Meijer Pharmacy #325)
• Sherrie Ann Meinerding, CRNA
• Holly Sue Meister, PTA
• Shayna Mell
• Melissa Anne Mellinger, CNS
• Lisa Maria Mellott, LPC
• Adam Melton
• Kelly Melton, CNP
• Melymbrosia Assoc., Inc.

• Optician in Canton, OH
• Providers in Canton, OH by specialty
• Optician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.