Organization Active NPI

New Direction Optical

  • Optician
  • Streetsboro, OH
National Provider Identifier
1558498733
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
S6785 Issued in OH
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.