NPIMap

Organization Active NPI

John M. Price OD, Inc.

Doing business as Oakwood Family Eyecare

  • Optometrist
  • Oakwood, OH
National Provider Identifier
1376612135
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5062 Issued in OH
Legal business name
JOHN M. PRICE OD, INC.
Doing business as
Oakwood Family Eyecare
Practice address
113 North First St.
Oakwood, OH 45873
Phone
(419) 594-3340
Fax
(419) 594-3300
NPI assigned
Nov 7, 2006
Last updated
Jan 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Mrs. Clarinda Y Wine, L.D.O.
Title
Office Manager
Phone
(419) 594-3340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5062 OH Primary

Addresses

Primary practice location

113 North First St.
Oakwood, OH 45873

Mailing address

113 North First St.
P.O. Box 168
Oakwood, OH 45873
Phone (419) 594-3340

Other names 1

  • Oakwood Family Eyecare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Douglas Wine Family Optometry Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1376612135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 NORTH FIRST ST.",
            "address_2": "P.O. BOX 168",
            "city": "OAKWOOD",
            "state": "OH",
            "postal_code": "45873",
            "telephone_number": "419-594-3340",
            "fax_number": "419-594-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 NORTH FIRST ST.",
            "city": "OAKWOOD",
            "state": "OH",
            "postal_code": "45873",
            "telephone_number": "419-594-3340",
            "fax_number": "419-594-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M. PRICE OD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "WINE",
        "authorized_official_first_name": "CLARINDA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "419-594-3340",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakwood Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.