Organization Active NPI

Mark W. Denman O.D. Inc.

  • Optometrist
  • Canal Fulton, OH
National Provider Identifier
1447629241
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MARK W. DENMAN O.D. INC.
Practice address
6569 Milhaven Ave NW
Canal Fulton, OH 44614-9698
Phone
(330) 289-4441
NPI assigned
Sep 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Authorized official

Name
Dr. Mark Denman, OD
Title
OD
Phone
(330) 289-4441

Specialties & licenses 1

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

Addresses

Primary practice location

6569 Milhaven Ave NW
Canal Fulton, OH 44614-9698

Mailing address

1948 Buchholzer Blvd
Akron, OH 44310-1849

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1447629241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 BUCHHOLZER BLVD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443101849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6569 MILHAVEN AVE NW",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446149698",
            "telephone_number": "330-289-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK W. DENMAN O.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "DENMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "330-289-4441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Fulton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.