Union Vision Center of Manchester Rd, Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

2089-SC Issued in OH

Legal business name

UNION VISION CENTER OF MANCHESTER RD, INC.

Doing business as

Co-Op Optical

Practice address

2355 Manchester Road
Akron, OH 44314-3639

Phone

(330) 753-2266

Fax

(330) 753-3320

NPI assigned

May 18, 2006

Last updated

Oct 22, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamela Ann Forsea, L.D.O.

Title

President and Coo

Phone

(330) 753-2266

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Co-Op Optical Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wayne Robert Evert, O.D.

  • Optometrist
  • Akron, OH
  • NPI 1851347116
  NPD (past)
• Jeffrey M Haught, O.D.

  • Optometrist
  • Akron, OH
  • NPI 1154368546
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1194778480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 MANCHESTER ROAD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443143639",
            "telephone_number": "330-753-2266",
            "fax_number": "330-753-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 MANCHESTER ROAD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443143639",
            "telephone_number": "330-753-2266",
            "fax_number": "330-753-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION VISION CENTER OF MANCHESTER RD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "FORSEA",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT AND COO",
        "authorized_official_telephone_number": "330-753-2266",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "2089-SC",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "OH 2089SC",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0289254",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Co-Op Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristina Underwood
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• Jeffrey Unger, M.D.
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• Universal Nursing Service, Inc.

• Optician in Akron, OH
• Providers in Akron, OH by specialty
• Optician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.