NPIMap

Organization Active NPI

Gregory J Stucke

  • Optometrist
  • Mason, OH
National Provider Identifier
1164763249
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5980 Issued in OH
Legal business name
GREGORY J STUCKE
Practice address
218 Reading Rd
Mason, OH 45040-1665
Phone
(513) 398-3886
Fax
(513) 398-9836
NPI assigned
Mar 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Gregory J Stucke, ODNPI 1689982704
Title
Owner
Phone
(513) 398-3886

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 SINGLE SPECIALTY GROUP 152W00000X 5980 OH Primary

Addresses

Primary practice location

218 Reading Rd
Mason, OH 45040-1665

Mailing address

218 Reading Rd
Mason, OH 45040-1665
Phone (513) 398-3886

Other names 1

  • Mason Vision Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1164763249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 READING RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401665",
            "telephone_number": "513-398-3886",
            "fax_number": "513-398-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 READING RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401665",
            "telephone_number": "513-398-3886",
            "fax_number": "513-398-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY J STUCKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "STUCKE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-398-3886",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mason Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.