NPIMap

Organization Active NPI

Petrie Eyecare

  • Optician
  • Akron, OH
National Provider Identifier
1457628182
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
5057S Issued in OH
Legal business name
PETRIE EYECARE
Practice address
3308 S Main St
Akron, OH 44319-3027
Phone
(330) 352-3212
NPI assigned
Nov 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Michael Petrie, L.D.O.NPI 1144514514
Title
Owner
Phone
(330) 352-3212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 5057S OH Primary

Addresses

Primary practice location

3308 S Main St
Akron, OH 44319-3027

Mailing address

3308 S Main St
Akron, OH 44319-3027
Phone (330) 352-3212

National Provider Directory

National Provider Directory

Locations

3308 S Main St
Coventry Township, OH 44319
Phone (330) 352-3212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1457628182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 S MAIN ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443193027",
            "telephone_number": "330-352-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 S MAIN ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443193027",
            "telephone_number": "330-352-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETRIE EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "PETRIE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-352-3212",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "5057S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.