NPIMap

Organization Active NPI

Ohio Vision Group, Inc.

  • Optometrist
  • Grove City, OH
National Provider Identifier
1407024540
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3548 Issued in OH
Legal business name
OHIO VISION GROUP, INC.
Practice address
3814 Broadway
Grove City, OH 43123-2234
Phone
(614) 871-2080
Fax
(614) 871-1301
NPI assigned
Feb 12, 2008
Organization subpart
Yes
Parent organization
OHIO VISION GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Authorized official

Name
Dr. Joseph P. Leisring, O.D.
Title
Vice President
Phone
(614) 871-2080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3548 OH Primary

Addresses

Primary practice location

3814 Broadway
Grove City, OH 43123-2234

Mailing address

3814 Broadway
Grove City, OH 43123-2234
Phone (614) 871-2080

Other identifiers 1

IdentifierTypeStateIssuer
410011217OtherOHRAILROAD MEDICARE

National Provider Directory

National Provider Directory
Part of
Jospeh Leisring MD

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1407024540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3814 BROADWAY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232234",
            "telephone_number": "614-871-2080",
            "fax_number": "614-871-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3814 BROADWAY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232234",
            "telephone_number": "614-871-2080",
            "fax_number": "614-871-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO VISION GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OHIO VISION GROUP, INC.",
        "enumeration_date": "2008-02-12",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "LEISRING",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "614-871-2080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410011217",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.