NPIMap

Organization Active NPI

Matthew P. Axline, O.D.,LLC

  • Optometrist
  • Marion, OH
National Provider Identifier
1386783066
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5520 Issued in OH
Legal business name
MATTHEW P. AXLINE, O.D.,LLC
Practice address
399 E Church St
Marion, OH 43302-4143
Phone
(740) 387-8414
Fax
(740) 387-9434
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Matthew Paul Axline, O.D.NPI 1811003957
Title
Owner
Phone
(740) 387-8414

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
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 5520 OH Primary

Addresses

Primary practice location

399 E Church St
Marion, OH 43302-4143

Mailing address

399 E Church St
Marion, OH 43302-4143
Phone (740) 387-8414

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386783066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E CHURCH ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433024143",
            "telephone_number": "740-387-8414",
            "fax_number": "740-387-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E CHURCH ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433024143",
            "telephone_number": "740-387-8414",
            "fax_number": "740-387-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW P. AXLINE, O.D.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AXLINE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-387-8414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.