NPIMap

Organization Active NPI

Innovative Optics Inc.

  • Optometrist
  • Coshocton, OH
National Provider Identifier
1639314537
Registry record updated Dec 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2990 Issued in OH
Legal business name
INNOVATIVE OPTICS INC.
Practice address
618 S 2ND St
Coshocton, OH 43812-1909
Phone
(740) 623-0110
Fax
(740) 623-0318
NPI assigned
Dec 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2008

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

Authorized official

Name
Richard L McCullough, OD
Title
Doctor
Phone
(740) 623-0110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2990 OH Primary

Addresses

Primary practice location

618 S 2ND St
Coshocton, OH 43812-1909

Mailing address

618 S 2ND St
Coshocton, OH 43812-1909
Phone (740) 623-0110

Other names 1

  • Dr.Mcculloughs Vision Center 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": "1228435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228435200000",
    "number": "1639314537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 S 2ND ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121909",
            "telephone_number": "740-623-0110",
            "fax_number": "740-623-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 S 2ND ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121909",
            "telephone_number": "740-623-0110",
            "fax_number": "740-623-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE OPTICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-05",
        "last_updated": "2008-12-05",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "740-623-0110",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "2990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr.Mcculloughs Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coshocton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; 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.