Organization Active NPI

Medina Vision Centre Inc.

Doing business as Medina Vision and Laser Centre

  • Optometrist
  • Medina, OH
National Provider Identifier
1639100423
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3918 Issued in OH
Legal business name
MEDINA VISION CENTRE INC.
Doing business as
Medina Vision and Laser Centre
Practice address
4463 Weymouth Rd
Medina, OH 44256-9249
Phone
(330) 722-2150
Fax
(330) 662-0044
NPI assigned
Jul 6, 2006
Last updated
Jan 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Authorized official

Name
Dr. Christine L Beiling, O.D.
Title
President
Phone
(330) 722-2150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 3918 OH Primary

Addresses

Primary practice location

4463 Weymouth Rd
Medina, OH 44256-9249

Mailing address

4463 Weymouth Rd
Medina, OH 44256-9249
Phone (330) 722-2150

Other names 1

  • Medina Vision and Laser Centre Doing business as

National Provider Directory

National Provider Directory

Locations

185 Main St
Wadsworth, OH 44281
Phone (330) 334-2000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1639100423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4463 WEYMOUTH RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569249",
            "telephone_number": "330-722-2150",
            "fax_number": "330-662-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4463 WEYMOUTH RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569249",
            "telephone_number": "330-722-2150",
            "fax_number": "330-662-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA VISION CENTRE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "BEILING",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-722-2150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medina Vision and Laser Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.