Dr Borntrager & Assoc LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

5845 Issued in OH

Legal business name

DR BORNTRAGER & ASSOC LLC

Practice address

2428 Whipple Ave NW
Canton, OH 44708-1514

Phone

(330) 477-8531

NPI assigned

Apr 15, 2015

Last updated

Apr 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nathan Borntrager, OD

Title

Optometrist

Phone

(330) 806-2356

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph L Nemeth III, O.D.

  • Optometrist
  • Canton, OH
  • NPI 1316938533
  NPD (past)

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1427444512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 BUR OAK ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447053122",
            "telephone_number": "330-806-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081514",
            "telephone_number": "330-477-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BORNTRAGER & ASSOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "BORNTRAGER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "330-806-2356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.