Michelle Young Vidikan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5351 Issued in OH

Practice address

2700 Miamisburg Centerville Rd
Dayton, OH 45459-3738

Phone

(937) 439-3180

NPI assigned

Apr 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396867743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 LAMPLIGHTER LN",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453248521",
            "telephone_number": "937-767-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 MIAMISBURG CENTERVILLE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593738",
            "telephone_number": "937-439-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDIKAN",
        "first_name": "MICHELLE",
        "middle_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wagner Vicente Encarancion
• Vicki L Rager Colon MD LLC (Vicki L Rager Colon MD)
• Victor a Lawrence DDS Inc
• Victory Town Community Foundation (Heart To Home)
• Marius Dacian Vidikan, O.D.
• Adriana Araceli Vieyra
• Laura Lynette Vikmanis, RD, LD
• Village Residential and Consulting, Inc
• Luis James Villagrana, CDCA
• Emma Villanueva

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

• 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.

Verify at the official NPI Registry.