Justin Kantner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5873 Issued in OH

Practice address

107 N Main St
Bluffton, OH 45817-1245

Phone

(419) 358-6076

Fax

(419) 358-7736

NPI assigned

Jul 8, 2009

Last updated

Jul 8, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247011200000",
    "number": "1144459496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 123",
            "city": "BLUFFTON",
            "state": "OH",
            "postal_code": "458170123",
            "telephone_number": "419-358-6076",
            "fax_number": "419-358-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N MAIN ST",
            "city": "BLUFFTON",
            "state": "OH",
            "postal_code": "458171245",
            "telephone_number": "419-358-6076",
            "fax_number": "419-358-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTNER",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David F Kisor, B.S., PHARM.D.
• Emily Kurland, NP
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• Optometrist in Bluffton, OH
• Providers in Bluffton, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.