PDR Management LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

PDR MANAGEMENT LLC

Practice address

9330 Buckboard Dr
Washington Township, OH 45458-3796

Phone

(260) 402-1290

NPI assigned

Oct 17, 2023

Organization subpart

No

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

Authorized official

Name

Amanda Belote

Title

Consultant

Phone

(260) 437-3970

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1366224057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 BUCKBOARD DR",
            "city": "WASHINGTON TOWNSHIP",
            "state": "OH",
            "postal_code": "454583796",
            "telephone_number": "260-402-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 BUCKBOARD DR",
            "city": "WASHINGTON TOWNSHIP",
            "state": "OH",
            "postal_code": "454583796",
            "telephone_number": "260-402-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDR MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "BELOTE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "260-437-3970"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Washington Township, OH
• Providers in Washington Township, OH by specialty
• Eyewear Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.