Joseph D Schwallie OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

4232 Issued in OH

Legal business name

JOSEPH D SCHWALLIE OD INC

Practice address

7121 Orchard Centre Dr
Holland, OH 43528-7975

Phone

(419) 865-7125

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Joe D Schwallie, OD

Title

President

Phone

(419) 865-7125

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Oracle Vision Care Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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

• Joseph D Schwallie Jr., O.D.

  • Optometrist
  • Holland, OH
  • NPI 1386649820
  Medicare reassignment

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1679651640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 ORCHARD CENTRE DR",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435287975",
            "telephone_number": "419-865-7125",
            "fax_number": "419-865-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 ORCHARD CENTRE DR",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435287975",
            "telephone_number": "419-865-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH D SCHWALLIE OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "SCHWALLIE",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-865-7125",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER#",
            "identifier": "0851124",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oracle Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Floyd Johnson
• Alisha M Jones, CNM
• Eddie Delano Jones Sr.
• Jini Rebecca Jordan, M.ED.
• McKenzie Aniese Jordan
• Zachary Nathaniel Judge, DPT
• Jon Robert Keeley, R.PH, M.S.
• Julia Keister, RPH
• Ashey Kelley, CDCA
• Tori Kelley, APS

• Optometrist in Holland, OH
• Providers in Holland, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.