Parkcrest Optical Company

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

48141341 Issued in OH

Legal business name

PARKCREST OPTICAL COMPANY

Practice address

3715 Airport Hwy
Toledo, OH 43615-7173

Phone

(419) 385-2361

Fax

(419) 385-7460

NPI assigned

Mar 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David Eriksen, MD

Title

Owner

Phone

(419) 385-2361

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• David Steele Rex, OPTICIAN

  • Optician
  • Toledo, OH
  • NPI 1306143425
  NPD (past)

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1629240676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 AIRPORT HWY",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436157173",
            "telephone_number": "419-385-2361",
            "fax_number": "419-385-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 AIRPORT HWY",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436157173",
            "telephone_number": "419-385-2361",
            "fax_number": "419-385-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKCREST OPTICAL COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "ERIKSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-385-2361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "48141341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2732814",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Park Terrace Rehabilitation Center LLC
• Chan Jin Park
• Christina Park, MS, CGC
• Moon Hun Park, LAC
• Sanga Park
• Cathryn Parke, CT
• Jacquelyn Parke
• Parker Residential & Care Services
• Olivia Parker-Bates, RN
• Ashley Parker-Washington

• Eyewear Supplier in Toledo, OH
• Providers in Toledo, OH by specialty
• Eyewear Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.