Family Vision Care of Waverly Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

3556/T794 Issued in OH

Legal business name

FAMILY VISION CARE OF WAVERLY INC

Practice address

414 W Emmitt Ave
Waverly, OH 45690-1008

Phone

(740) 947-8191

Fax

(740) 947-5554

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Greg G Montavon, O.D

Title

President

Phone

(740) 947-8191

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• David Thomas Brown, O.D.

  • Optometrist
  • Chillicothe, OH
  • NPI 1396719720
  NPD (past)

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1306035142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 W EMMITT AVE",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456901008",
            "telephone_number": "740-947-8191",
            "fax_number": "740-947-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W EMMITT AVE",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456901008",
            "telephone_number": "740-947-8191",
            "fax_number": "740-947-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY VISION CARE OF WAVERLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "MONTAVON",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-947-8191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3556/T794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0471976",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Evans
• Clarissa Dawn Everhart
• Carol Hill Ewing, LMT
• Scott Andy Ewing
• Eye Specialist Inc
• Elizabeth M Fannin
• Cody Allen Farley
• Emily Ann Farley
• Jennifer Farley
• Douglas Robert Felland

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.