Organization Active NPI

David W Wineland

Doing business as I Care Vision Center of mt vernon

  • Optometrist
  • Mount Vernon, OH
National Provider Identifier
1538223417
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3755T701 Issued in OH
Legal business name
DAVID W WINELAND
Doing business as
I Care Vision Center of mt vernon
Practice address
110 Coshocton Ave
Mount Vernon, OH 43050-2628
Phone
(740) 392-4000
Fax
(740) 392-6379
NPI assigned
Dec 21, 2006
Last updated
Aug 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Authorized official

Name
Dr. David William Wineland, OD
Title
Sole Owner of Group Practice
Phone
(740) 392-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3755T701 OH Primary

Addresses

Primary practice location

110 Coshocton Ave
Mount Vernon, OH 43050-2628

Mailing address

110 Coshocton Ave
Mount Vernon, OH 43050-2628
Phone (740) 392-4000

Other identifiers 6

IdentifierTypeStateIssuer
1609962299OtherNPI
1962659995OtherNPI
687261MedicaidOH
0560610MedicaidOH
1003194028OtherNPI
9240821OtherMEDICARE GROUP

Other names 1

  • I Care Vision Center of mt vernon Doing business as

National Provider Directory

National Provider Directory

Locations

110 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 392-4000

110 Coshocton Ave
#C
Mount Vernon, OH 43050
Phone (740) 392-4000

110 Coshocton Ave
Ste C
Mount Vernon, OH 43050
Phone (419) 756-8000

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1538223417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COSHOCTON AVE",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430502628",
            "telephone_number": "740-392-4000",
            "fax_number": "740-392-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 COSHOCTON AVE",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430502628",
            "telephone_number": "740-392-4000",
            "fax_number": "740-392-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID W WINELAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "WINELAND",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "SOLE OWNER OF GROUP PRACTICE",
        "authorized_official_telephone_number": "740-392-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3755T701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1609962299",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962659995",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "687261",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0560610",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1003194028",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "9240821",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I Care Vision Center of mt vernon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.