Organization Active NPI

Sunforest Vision Center Inc

  • Ophthalmologic Surgery Clinic/Center
  • Toledo, OH
National Provider Identifier
1184925596
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
35-03-4485S Issued in OH
Legal business name
SUNFOREST VISION CENTER INC
Practice address
3915 Sunforest CT
Toledo, OH 43623-4453
Phone
(419) 475-9251
Fax
(419) 475-1407
NPI assigned
Nov 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Dr. Abraham Yap Sim, M.D.
Title
President
Phone
(419) 475-9251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X 35-03-4485S OH Primary

Addresses

Primary practice location

3915 Sunforest CT
Toledo, OH 43623-4453

Mailing address

3915 Sunforest CT
Toledo, OH 43623-4453
Phone (419) 475-9251

Other identifiers 2

IdentifierTypeStateIssuer
0372941OtherOHMEDICARE
0194356MedicaidOH

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": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1184925596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 SUNFOREST CT",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234453",
            "telephone_number": "419-475-9251",
            "fax_number": "419-475-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 SUNFOREST CT",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234453",
            "telephone_number": "419-475-9251",
            "fax_number": "419-475-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNFOREST VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "SIM",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_middle_name": "YAP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-475-9251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "OH",
            "license": "35-03-4485S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0372941",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0194356",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.