NPIMap

Organization Active NPI

Lookingglass Eyecare Professionals, LLC

  • Optometrist
  • Wooster, OH
National Provider Identifier
1659623163
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5806 Issued in OH
Legal business name
LOOKINGGLASS EYECARE PROFESSIONALS, LLC
Practice address
1651 Beall Ave
Wooster, OH 44691-2347
Phone
(330) 345-8076
Fax
(330) 345-7276
NPI assigned
Oct 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Authorized official

Name
Dr. Jennifer Miller
Title
Owner
Phone
(330) 345-8076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5806 OH Primary

Addresses

Primary practice location

1651 Beall Ave
Wooster, OH 44691-2347

Mailing address

1651 Beall Ave
Wooster, OH 44691-2347
Phone (330) 345-8076

National Provider Directory

National Provider Directory
Tax ID family
Looking Glass Eyecare Professionals2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

114 E Liberty St
Wooster, OH 44691
Phone (330) 345-8076

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1659623163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 BEALL AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912347",
            "telephone_number": "330-345-8076",
            "fax_number": "330-345-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 BEALL AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912347",
            "telephone_number": "330-345-8076",
            "fax_number": "330-345-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOKINGGLASS EYECARE PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-345-8076",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; 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.