Active NPI
Joseph L Nemeth III, O.D.
- Optometrist
- Canton, OH
National Provider Identifier
1316938533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3320 T575
- Practice address
- 2428 Whipple Ave NW
Canton, OH 44708-1514 - Phone
- (330) 477-7110
- Fax
- (330) 477-8541
- NPI assigned
- Nov 4, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3320 T575 | OH | Primary |
Addresses
Primary practice location
2428 Whipple Ave NW
Canton, OH 44708-1514
Mailing address
2428 Whipple Ave NW
Canton, OH 44708-1514
Phone (330) 477-7110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0365500 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3320 T575 | OH | MD | Optometrist |
| 1434 | SC | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Borntrager & Assoc LLC | Optometrist | Past | Accepting new patients |
| Mellett Vision Care, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Canton, OH
- NPI 1427444512
-
- Optician
- Canton, OH
- NPI 1114017050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316938533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2428 WHIPPLE AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447081514",
"telephone_number": "330-477-7110",
"fax_number": "330-477-8541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2428 WHIPPLE AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447081514",
"telephone_number": "330-477-7110",
"fax_number": "330-477-8541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMETH",
"first_name": "JOSEPH",
"middle_name": "L",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "3320 T575",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0365500",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.