Avon Vision Centre LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

1919710 Issued in OH

Legal business name

AVON VISION CENTRE LLC

Practice address

37500 Harvest Ave
Avon, OH 44011-2804

Phone

(440) 429-2822

Fax

(440) 884-5975

NPI assigned

Mar 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey A Oberg, ODNPI 1083716492

Title

Optometrist

Phone

(440) 429-2822

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Alan Oberg, O.D.

  • Optometrist
  • Avon, OH
  • NPI 1083716492
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1295059939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37500 HARVEST AVE",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112804",
            "telephone_number": "440-429-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37500 HARVEST AVE",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112804",
            "telephone_number": "440-429-2822",
            "fax_number": "440-884-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVON VISION CENTRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "OBERG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "440-429-2822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "1919710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anthony E Bacevice Jr., MD
• Kristen Bacik, PT, DPT
• Aaron Joseph Baker
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• Eyewear Supplier in Avon, OH
• Providers in Avon, OH by specialty
• Eyewear Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.