Active NPI
New Direction Optical
- Optician
- Streetsboro, OH
National Provider Identifier
1558498733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- S6785
- Legal business name
- NEW DIRECTION OPTICAL
- Practice address
- 9288 Market Square Dr Ste 18
Streetsboro, OH 44241-5208 - Phone
- (330) 422-1860
- Fax
- (330) 422-1861
- NPI assigned
- Feb 27, 2007
- 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
- Mrs. Connie Jean Vidmar, ABOC
- Title
- President
- Phone
- (330) 422-1860
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | S6785 | OH | Primary |
Addresses
Primary practice location
9288 Market Square Dr Ste 18
Streetsboro, OH 44241-5208
Mailing address
9288 Market Square Dr Ste 18
Streetsboro, OH 44241-5208
Phone (330) 422-1860
National Provider Directory
National Provider DirectoryLocations
9288 Market Square Dr
Ste 18
Streetsboro, OH 44241
Phone (330) 422-1860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1558498733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9288 MARKET SQUARE DR STE 18",
"city": "STREETSBORO",
"state": "OH",
"postal_code": "442415208",
"telephone_number": "330-422-1860",
"fax_number": "330-422-1861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9288 MARKET SQUARE DR STE 18",
"city": "STREETSBORO",
"state": "OH",
"postal_code": "442415208",
"telephone_number": "330-422-1860",
"fax_number": "330-422-1861"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW DIRECTION OPTICAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VIDMAR",
"authorized_official_first_name": "CONNIE",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-422-1860",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "ABOC"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "OH",
"license": "S6785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Streetsboro, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.