George E. Atanasoff, OD, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4264T023 Issued in OH

Legal business name

GEORGE E. ATANASOFF, OD, INC.

Practice address

1000 Ghent Rd
Akron, OH 44333

Phone

(330) 666-6786

Fax

(330) 666-6851

NPI assigned

Feb 1, 2006

Organization subpart

No

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

Authorized official

Name

George Elliott Atanasoff

Title

President

Phone

(330) 666-6786

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Eye & Vision Center Doing business as

Locations

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396716734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GHENT RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44333",
            "telephone_number": "330-666-6786",
            "fax_number": "330-666-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GHENT RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44333",
            "telephone_number": "330-666-6786",
            "fax_number": "330-666-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE E. ATANASOFF, OD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ATANASOFF",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ELLIOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-666-6786"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4264T023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0820960001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0459150",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye & Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• 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.