John T Archer & Associates Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

5292T2201 Issued in OH

Legal business name

JOHN T ARCHER & ASSOCIATES INC

Doing business as

Premier Vision Group

Practice address

1222 Ridgewood Dr
Bowling Green, OH 43402-2664

Phone

(419) 352-2502

Fax

(419) 352-1281

NPI assigned

Sep 7, 2006

Last updated

May 1, 2013By 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

Dr. John T Archer, ODNPI 1568565034

Title

Owner

Phone

(419) 352-2502

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Premier Vision Group Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• John T Archer & Associates Inc

  dba Premier Vision Group

  • Optometrist
  • Lima, OH
  • NPI 1366571846

  O20040412000810

  Same enrollment
• John T Archer & Associates Inc

  dba Premier Vision Group

  • Optometrist
  • Minster, OH
  • NPI 1740325307

  O20040412000810

  Same enrollment
• John T Archer & Associates Inc

  • Optometrist
  • Toledo, OH
  • NPI 1801729488

  O20040412000810

  Same enrollment
• John T Archer & Associates Inc

  dba Premier Vision Group

  • Optometrist
  • Northwood, OH
  • NPI 1821679705

  O20040412000810

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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.

• John T Archer, O.D.

  • Optometrist
  • Bowling Green, OH
  • NPI 1568565034
  NPD (past) Authorized official
• Cheryl Archer, OD

  • Optometrist
  • Bowling Green, OH
  • NPI 1447353917
  NPD
• Tracey G Needham, O.D.

  • Optometrist
  • Rossford, OH
  • NPI 1245305754
  NPD

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1245333715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 ERIE COURT",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "43402",
            "telephone_number": "419-352-2502",
            "fax_number": "419-352-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 RIDGEWOOD DR",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022664",
            "telephone_number": "419-352-2502",
            "fax_number": "419-352-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN T ARCHER & ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-352-2502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5292T2201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0322556",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Vision Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheryl Ann Jacobs, CPNP
• Elayne M Jacoby, C.N.P.
• Mohammed Jallad, FNP
• Zaqariah James, LSW
• Jay L. Smith MD (Bowling Green Pain Clinic)
• Amy Johnson, MSW, LSW
• Brooke Johnson
• Jeremy Johnson
• Latoyia Johnson, LMT
• Mary S Johnson, C.N.P.

• Optometrist in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.