Dr. Marc Landes LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

6212 Issued in OH

Legal business name

DR. MARC LANDES LLC

Practice address

905 Singletary Dr
Streetsboro, OH 44241-3975

Phone

(330) 422-2168

Fax

(330) 422-2170

NPI assigned

Apr 25, 2015

Organization subpart

Yes

Parent organization

DR. MARC LANDESAs reported in NPPES

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

Authorized official

Name

Dr. Marc Todd Landes, O.D.

Title

Owner

Phone

(330) 606-2880

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Landes and Associates Doing business as

Part of

Dr Marc Landes LLC

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

{
    "created_epoch": "1429920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1477940674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 CROSS CREEK TRL",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231273",
            "telephone_number": "330-606-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SINGLETARY DR",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442413975",
            "telephone_number": "330-422-2168",
            "fax_number": "330-422-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARC LANDES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. MARC LANDES",
        "enumeration_date": "2015-04-25",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "LANDES",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-606-2880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0085936",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Landes and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Streetsboro, OH
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.