Mobile Optometry, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4105 Issued in OH

Legal business name

MOBILE OPTOMETRY, LLC

Practice address

716 Market St
Zanesville, OH 43701-3716

Phone

(740) 453-3785

Fax

(740) 422-0311

NPI assigned

Oct 22, 2006

Last updated

Mar 22, 2016By 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. Frederick Allen Frost, ODNPI 1609915578

Title

Manager

Phone

(740) 453-3785

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH, PA2 enrollments

Enrollment records 2

Locations

Practitioners 4

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.

• Frederick Allen Frost, O.D.

  • Optometrist
  • Zanesville, OH
  • NPI 1609915578

  PA

  Medicare reassignment Authorized official
• Scott A Furgerson, O.D.

  • Optometrist
  • West Jefferson, OH
  • NPI 1346298270
  NPD (past)
• Jon Eric Noll, OD

  • Optometrist
  • Duncannon, PA
  • NPI 1144293911
  NPD (past)
• James L. Schmitt, O.D.

  • Optometrist
  • Muncy, PA
  • NPI 1790759074
  NPD (past)

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

{
    "created_epoch": "1161475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1518040997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 LINDEN AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437013049",
            "telephone_number": "740-453-3785",
            "fax_number": "740-422-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 MARKET ST",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437013716",
            "telephone_number": "740-453-3785",
            "fax_number": "740-422-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE OPTOMETRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "740-453-3785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018646410001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2447276",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Jo Miracle
• Mary Kathleen Mirgon, LSW
• Melvin L Miskovich, DDS
• Martha Lois Mitchell
• Matthew Mitchell, PHARM.D.
• Jignesh Jashawant Modi, MD
• Nassar Mohammad, DDS
• Tami L Mohan, PA-C
• Dalisa Renee Monlux, LPN
• Kathleen Jo Montgomery, CRNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.