Active NPI
David W Wineland
Doing business as I Care Vision Center of mt vernon
- Optometrist
- Mount Vernon, OH
National Provider Identifier
1538223417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3755T701
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609962299 | Other | NPI | |
| 1962659995 | Other | NPI | |
| 687261 | Medicaid | OH | |
| 0560610 | Medicaid | OH | |
| 1003194028 | Other | NPI | |
| 9240821 | Other | MEDICARE GROUP |
Other names 1
- I Care Vision Center of mt vernon
National Provider Directory
National Provider DirectoryLocations
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.