Organization Active NPI

Richwood Vision Center

  • Optometrist
  • Richwood, OH
National Provider Identifier
1154478642
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3083 Issued in OH
Legal business name
RICHWOOD VISION CENTER
Practice address
8 S Franklin St
Richwood, OH 43344-1132
Phone
(740) 943-2148
Fax
(740) 943-2148
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daniel J Niederkohr, OD
Title
Dr
Phone
(740) 943-2148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 3083 OH Primary

Addresses

Primary practice location

8 S Franklin St
Richwood, OH 43344-1132

Mailing address

8 S Franklin St
Richwood, OH 43344-1132
Phone (740) 943-2148

Other identifiers 1

IdentifierTypeStateIssuer
0443569MedicaidOH

National Provider Directory

National Provider Directory

Locations

8 S Franklin St
Richwood, OH 43344
Phone (740) 943-2148

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154478642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 S FRANKLIN ST",
            "city": "RICHWOOD",
            "state": "OH",
            "postal_code": "433441132",
            "telephone_number": "740-943-2148",
            "fax_number": "740-943-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 S FRANKLIN ST",
            "city": "RICHWOOD",
            "state": "OH",
            "postal_code": "433441132",
            "telephone_number": "740-943-2148",
            "fax_number": "740-943-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHWOOD VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIEDERKOHR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "740-943-2148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0443569",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.