Joseph G. Van Keuren

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JOSEPH G. VAN KEUREN

Practice address

1212 Abbe Rd N
Suite B
Elyria, OH 44035-1600

Phone

(440) 365-2021

Fax

(440) 365-2033

NPI assigned

Jan 17, 2008

Organization subpart

No

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

Authorized official

Name

Mary Jo Szivan

Title

Billing

Phone

(440) 365-2021

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1366628620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 ABBE RD N",
            "address_2": "SUITE B",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351600",
            "telephone_number": "440-365-2021",
            "fax_number": "440-365-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 ABBE RD N",
            "address_2": "SUITE B",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351600",
            "telephone_number": "440-365-2021",
            "fax_number": "440-365-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH G. VAN KEUREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "SZIVAN",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "440-365-2021"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

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