Three Amigo'S Optical, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

THREE AMIGO'S OPTICAL, LLC

Doing business as

Village Vision Care

Practice address

3405 W. Central Ave.
Toledo, OH 43606

Phone

(419) 381-5013

NPI assigned

Aug 7, 2023

Organization subpart

No

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

Authorized official

Name

Andrea N Ceravolo

Title

Administrator

Phone

(141) 926-6668

Specialties & licenses 1

Addresses

Other names 1

• Village Vision Care Doing business as

Locations

Practitioners 1

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

• Michael A Cooper, OD

  • Optometrist
  • Toledo, OH
  • NPI 1558370429
  NPD

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1295417459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 W CENTRAL AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061402",
            "telephone_number": "419-381-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 W. CENTRAL AVE.",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43606",
            "telephone_number": "419-381-5013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "771 AIRPORT BLVD",
            "address_purpose": "LOCATION",
            "city": "PITTSFIELD TWP",
            "state": "MI",
            "postal_code": "48108",
            "country_code": "US",
            "telephone_number": "734-213-8025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20000 HAGGERTY RD.",
            "address_purpose": "LOCATION",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48152",
            "country_code": "US",
            "telephone_number": "734-853-1277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26400 N. Dixie Hwy.",
            "address_purpose": "LOCATION",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "43551",
            "country_code": "US",
            "telephone_number": "567-368-6015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THREE AMIGO'S OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-06",
        "status": "A",
        "authorized_official_last_name": "CERAVOLO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "141-926-6668"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Toledo, OH
• Providers in Toledo, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.