NPIMap

Organization Active NPI

John T Archer & Assoc Inc

  • Optometrist
  • Wapakoneta, OH
National Provider Identifier
1154423952
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T3762 T631 Issued in OH
Legal business name
JOHN T ARCHER & ASSOC INC
Practice address
1201 Defiance St
Suite a
Wapakoneta, OH 45895-1086
Phone
(419) 738-2715
Fax
(419) 738-2815
NPI assigned
Sep 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Authorized official

Name
Dr. Cheryl Archer, O.D.NPI 1447353917
Title
Partner
Phone
(419) 738-2715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X T3762 T631 OH Primary

Addresses

Primary practice location

1201 Defiance St
Suite a
Wapakoneta, OH 45895-1086

Mailing address

PO Box 58
Wapakoneta, OH 45895-0058
Phone (419) 738-2715

Other identifiers 1

IdentifierTypeStateIssuer
2552750MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1154423952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458950058",
            "telephone_number": "419-738-2715",
            "fax_number": "419-738-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 DEFIANCE ST",
            "address_2": "SUITE A",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458951086",
            "telephone_number": "419-738-2715",
            "fax_number": "419-738-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN T ARCHER & ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "419-738-2715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "T3762 T631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2552750",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wapakoneta, OH

Sources for this page

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