Kenton Vision Care, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KENTON VISION CARE, INC.

Practice address

110 N High St
Kenton, OH 43326-1549

Phone

(419) 673-0492

NPI assigned

May 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan L Warner, O.D.NPI 1588612089

Title

President

Phone

(419) 673-0492

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Jonathan L. Warner, OD

  • Optometrist
  • Kenton, OH
  • NPI 1588612089
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1366490559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433260635",
            "telephone_number": "419-673-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N HIGH ST",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433261549",
            "telephone_number": "419-673-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTON VISION CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-673-0492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA8949",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenton City Schools
• Kenton Facility Operations, LLC
• Kenton Family Eye Care, Inc.
• Kenton Family Practice LLC
• Kenton Nursing & Rehabilitation Center LLC
• Andrea Lee King
• Megan Marie Kinnison, R.D., L.D.
• Laura Elizabeth Knoderer
• Krista M. Kiraly, D.D.S., L.L.C.
• Lane Drug Co

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.