Active NPI
Kristin Renay Mack
- Optician
- Salem, OH
National Provider Identifier
1437857307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 7093-SC
- Practice address
- 2875 E State St
Salem, OH 44460-9303 - Phone
- (330) 337-9045
- Fax
- (330) 337-9052
- NPI assigned
- Feb 21, 2023
- Last updated
- Feb 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 7093-SC | OH | Primary |
Addresses
Primary practice location
2875 E State St
Salem, OH 44460-9303
Mailing address
2875 E State St
Salem, OH 44460-9303
Phone (330) 337-9045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7093-SC | OH | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1437857307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2875 E STATE ST",
"city": "SALEM",
"state": "OH",
"postal_code": "444609303",
"telephone_number": "330-337-9045",
"fax_number": "330-337-9052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2875 E STATE ST",
"city": "SALEM",
"state": "OH",
"postal_code": "444609303",
"telephone_number": "330-337-9045",
"fax_number": "330-337-9052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACK",
"first_name": "KRISTIN",
"middle_name": "RENAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-21",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "OH",
"license": "7093-SC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.