Organization Active NPI

Northwest Vision Center, LLC

  • Optometrist
  • Columbus, OH
National Provider Identifier
1396866752
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NORTHWEST VISION CENTER, LLC
Practice address
2200 Henderson Rd Ste a
Columbus, OH 43220-7327
Phone
(614) 273-2020
Fax
(614) 273-4335
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Authorized official

Name
Yoongie E Min, O.D.
Title
Owner
Phone
(614) 273-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2200 Henderson Rd Ste a
Columbus, OH 43220-7327

Mailing address

2200 Henderson Rd Ste a
Columbus, OH 43220-7327
Phone (614) 273-2020

National Provider Directory

National Provider Directory

Locations

2200 Henderson Rd
Columbus, OH 43220

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1396866752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 HENDERSON RD STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432207327",
            "telephone_number": "614-273-2020",
            "fax_number": "614-273-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HENDERSON RD STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432207327",
            "telephone_number": "614-273-2020",
            "fax_number": "614-273-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST VISION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "MIN",
        "authorized_official_first_name": "YOONGIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-273-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.