Organization Active NPI

Harbourtown Vision Inc

  • Durable Medical Equipment & Medical Supplies
  • Vermilion, OH
National Provider Identifier
1285968362
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2775 Issued in OH
Legal business name
HARBOURTOWN VISION INC
Practice address
5491 Liberty Ave
Vermilion, OH 44089-1307
Phone
(440) 967-2020
Fax
(440) 967-3228
NPI assigned
Sep 23, 2009
Last updated
Sep 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Authorized official

Name
Dr. James Lance Wight, O.D
Title
Owner
Phone
(440) 967-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2775 OH Primary

Addresses

Primary practice location

5491 Liberty Ave
Vermilion, OH 44089-1307

Mailing address

5491 Liberty Ave
Vermilion, OH 44089-1307
Phone (440) 967-2020

Other identifiers 1

IdentifierTypeStateIssuer
9448388MedicaidOH

National Provider Directory

National Provider Directory

Locations

5491 Liberty Ave
Vermilion, OH 44089
Phone (440) 967-2020

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1285968362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5491 LIBERTY AVE",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440891307",
            "telephone_number": "440-967-2020",
            "fax_number": "440-967-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5491 LIBERTY AVE",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440891307",
            "telephone_number": "440-967-2020",
            "fax_number": "440-967-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOURTOWN VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "WIGHT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-967-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "2775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9448388",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vermilion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.