Organization Active NPI

Dr. Gregory a. Marchand and Associates, Inc.

  • Optometrist
  • Ravenna, OH
National Provider Identifier
1285687863
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OH4573 Issued in OH
Legal business name
DR. GREGORY A. MARCHAND AND ASSOCIATES, INC.
Practice address
950 E Main St
Ravenna, OH 44266-3326
Phone
(330) 296-0100
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Dr. Gregory A. Marchand, O.D.NPI 1386698264
Title
President/Optometrist
Phone
(330) 296-0100

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 OH4573 OH Primary

Addresses

Primary practice location

950 E Main St
Ravenna, OH 44266-3326

Mailing address

950 E Main St
Ravenna, OH 44266-3326
Phone (330) 296-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060607000308 OH Part B Supplier - Clinic/Group Practice 6305858424 Receives reassigned benefits from 1 practitioner
Practice locations: Ravenna, OH

National Provider Directory

National Provider Directory

Locations

950 E Main St
Ravenna, OH 44266
Phone (330) 296-0100

Practitioners & affiliated clinicians

Practitioners 3

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": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1285687863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E MAIN ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663326",
            "telephone_number": "330-296-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E MAIN ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663326",
            "telephone_number": "330-296-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GREGORY A. MARCHAND AND ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "MARCHAND",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "330-296-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH4573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.