NPIMap

Organization Active NPI

Douglas Wine Family Optometry, Inc.

  • Eyewear Supplier
  • Saint Marys, OH
National Provider Identifier
1376919704
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
140106 Issued in OH
Legal business name
DOUGLAS WINE FAMILY OPTOMETRY, INC.
Practice address
140 W Spring St
Saint Marys, OH 45885-2312
Phone
(419) 305-7283
NPI assigned
Aug 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Clarinda WineNPI 1902307804
Title
Optician
Phone
(419) 305-7283

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 140106 OH Primary

Addresses

Primary practice location

140 W Spring St
Saint Marys, OH 45885-2312

Mailing address

227 Candlewood PL
Saint Marys, OH 45885-9661
Phone (419) 305-7283

Other names 1

  • Epic Eyes Other name

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": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1376919704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 CANDLEWOOD PL",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458859661",
            "telephone_number": "419-305-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W SPRING ST",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852312",
            "telephone_number": "419-305-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS WINE FAMILY OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "WINE",
        "authorized_official_first_name": "CLARINDA",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "419-305-7283"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "140106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epic Eyes",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Marys, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.