Active NPI
Akron Vision Center PC
- Clinic/Center
- Akron, IN
National Provider Identifier
1649449745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 1800192A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000246844 | Other | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI 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.