Organization Active NPI

Akron Vision Center PC

  • Clinic/Center
  • Akron, IN
National Provider Identifier
1649449745
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1800192A Issued in IN
Legal business name
AKRON VISION CENTER PC
Practice address
100 W Rochester St
Akron, IN 46910-9997
Phone
(574) 893-7050
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Authorized official

Name
Mr. Mark S. Harris, OD
Title
Owner/Doctor
Phone
(574) 893-7050

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1800192A IN Primary
Eyewear Supplier 332H00000X 18001927A IN

Addresses

Primary practice location

100 W Rochester St
Akron, IN 46910-9997

Mailing address

PO Box 640
Akron, IN 46910-0640
Phone (574) 893-7050

Other identifiers 1

IdentifierTypeStateIssuer
000000246844OtherBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1649449745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "AKRON",
            "state": "IN",
            "postal_code": "469100640",
            "telephone_number": "574-893-7050",
            "fax_number": "574-893-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W ROCHESTER ST",
            "city": "AKRON",
            "state": "IN",
            "postal_code": "469109997",
            "telephone_number": "574-893-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKRON VISION CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "574-893-7050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IN",
            "license": "1800192A",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IN",
            "license": "18001927A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000246844",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.