Organization Active NPI

Morrow Vision Center, Inc.

  • Custodial Care Facility
  • Mount Gilead, OH
National Provider Identifier
1356523484
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
3280T365 Issued in OH
Legal business name
MORROW VISION CENTER, INC.
Practice address
91 E Marion St
Mount Gilead, OH 43338-1434
Phone
(419) 946-6881
NPI assigned
Nov 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Charles E Bohman, O.D.
Title
Optometrist
Phone
(419) 946-6881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 3280T365 OH Primary

Addresses

Primary practice location

91 E Marion St
Mount Gilead, OH 43338-1434

Mailing address

91 E Marion St
Mt, Gilead, OH 43338-1480
Phone (419) 946-6881

Other identifiers 1

IdentifierTypeStateIssuer
0675023MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1356523484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 E MARION ST",
            "city": "MT, GILEAD",
            "state": "OH",
            "postal_code": "433381480",
            "telephone_number": "419-946-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 E MARION ST",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381434",
            "telephone_number": "419-946-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORROW VISION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "BOHMAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "419-946-6881",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "OH",
            "license": "3280T365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0675023",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Gilead, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.