Organization Active NPI

Ohio Vision of Toledo Inc.

Doing business as Optivue

  • Durable Medical Equipment & Medical Supplies
  • Oregon, OH
National Provider Identifier
1609896315
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
4585460001 Issued in OH
Legal business name
OHIO VISION OF TOLEDO INC.
Doing business as
Optivue
Practice address
2740 Navarre Ave
Oregon, OH 43616-3216
Phone
(419) 693-4444
Fax
(419) 697-2149
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Authorized official

Name
Connie Richards
Title
C.O.O
Phone
(419) 693-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 4585460001 OH Primary

Addresses

Primary practice location

2740 Navarre Ave
Oregon, OH 43616-3216

Mailing address

2740 Navarre Ave
Oregon, OH 43616-3216
Phone (419) 693-4444

Other identifiers 1

IdentifierTypeStateIssuer
2673085MedicaidOH

Other names 1

  • Optivue Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1609896315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 NAVARRE AVE",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163216",
            "telephone_number": "419-693-4444",
            "fax_number": "419-697-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 NAVARRE AVE",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163216",
            "telephone_number": "419-693-4444",
            "fax_number": "419-697-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO VISION OF TOLEDO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "C.O.O",
        "authorized_official_telephone_number": "419-693-4444"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "4585460001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2673085",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optivue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oregon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.