Coshocton Vision LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

5236 Issued in OH

Legal business name

COSHOCTON VISION LLC

Practice address

618 S 2ND St
Coshocton, OH 43812-1909

Phone

(740) 623-0110

Fax

(740) 623-0318

NPI assigned

Aug 15, 2012

Organization subpart

No

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

Authorized official

Name

Alan Joseph Patterson, ODNPI 1457344087

Title

Owner

Phone

(740) 623-0110

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 2

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

• Alan Joseph Patterson, OD

  • Optometrist
  • Zanesville, OH
  • NPI 1457344087
  Medicare reassignment Care Compare group NPD Authorized official
• Richard McCullough, OD

  • Optometrist
  • Coshocton, OH
  • NPI 1992809057
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1548518012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 S 2ND ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121909",
            "telephone_number": "740-623-0110",
            "fax_number": "740-623-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 S 2ND ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121909",
            "telephone_number": "740-623-0110",
            "fax_number": "740-623-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSHOCTON VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-623-0110",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coshocton Occupational Medicine
• Coshocton Opco, LLC (Coshocton Healthcare and Rehabilitation Center)
• Coshocton Radiology, Inc.
• Coshocton Surgical Clinic
• Coshocton Vision Center, LLC (Optics Plus Vision Center)
• County of Coshocton (Coshocton Public Health District)
• County of Coshocton (Coshocton County Coordinated Transportation Agency)
• County of Coshocton (Coshocton County EMS)
• Rachelle Lynn Courtright, LSW
• Ashley Jayne Cox, M.A., CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.