Organization Active NPI

Vision Clinics LTD

  • Optometrist
  • Brunswick, OH
National Provider Identifier
1669660320
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3247 Issued in OH
Legal business name
VISION CLINICS LTD
Practice address
946 Pearl Rd
Brunswick, OH 44212-2562
Phone
(330) 273-1010
Fax
(330) 225-8115
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Authorized official

Name
Dr. Scott Dwayne Kammer, O.D.
Title
Optometrist/ Owner
Phone
(330) 273-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3247 OH Primary

Addresses

Primary practice location

946 Pearl Rd
Brunswick, OH 44212-2562

Mailing address

946 Pearl Rd
Brunswick, OH 44212-2562
Phone (330) 273-1010

Other identifiers 1

IdentifierTypeStateIssuer
1158740002OtherOHDURABLE MEDICAL EQUIPMENT

Other names 1

  • Brunswick Vision Clinic 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": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1669660320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 PEARL RD",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442122562",
            "telephone_number": "330-273-1010",
            "fax_number": "330-225-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 PEARL RD",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442122562",
            "telephone_number": "330-273-1010",
            "fax_number": "330-225-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CLINICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "KAMMER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "OPTOMETRIST/ OWNER",
        "authorized_official_telephone_number": "330-273-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DURABLE MEDICAL EQUIPMENT",
            "identifier": "1158740002",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brunswick Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brunswick, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.