Active NPI
Bruce Alan Vasiloff, OD
- Optometrist
- Findlay, OH
National Provider Identifier
1386749083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3772T1192
- Practice address
- 2500 Tiffin Ave
Findlay, OH 45840 - Phone
- (419) 425-2125
- Fax
- (419) 425-3936
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3772T1192 | OH | Primary |
| Optometrist | 152W00000X | 787 | SC |
Addresses
Primary practice location
2500 Tiffin Ave
Findlay, OH 45840
Mailing address
300 Penbrooke Dr
Findlay, OH 45840
Phone (419) 427-1208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3772T1192 | OH | MD | Optometrist |
| 787 | SC | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386749083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PENBROOKE DR",
"city": "FINDLAY",
"state": "OH",
"postal_code": "45840",
"telephone_number": "419-427-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 TIFFIN AVE",
"city": "FINDLAY",
"state": "OH",
"postal_code": "45840",
"telephone_number": "419-425-2125",
"fax_number": "419-425-3936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASILOFF",
"first_name": "BRUCE",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "3772T1192",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "787",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Findlay, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.