Organization Active NPI

Positional Advantage Corporation

  • Optometrist
  • Delaware, OH
National Provider Identifier
1689041477
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6134 Issued in OH
Legal business name
POSITIONAL ADVANTAGE CORPORATION
Practice address
29 Grandview Ave
Delaware, OH 43015-1039
Phone
(419) 228-3800
Fax
(419) 222-1596
NPI assigned
Aug 27, 2015
Last updated
Dec 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Authorized official

Name
Steven Kocher, ODNPI 1346505641
Title
President
Phone
(419) 228-3800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6134 OH Primary

Addresses

Primary practice location

29 Grandview Ave
Delaware, OH 43015-1039

Mailing address

121 W Central Ave
Delaware, OH 43015-1905
Phone (419) 569-4790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151208002493 OH Part B Supplier - Clinic/Group Practice 9133420524 Receives reassigned benefits from 1 practitioner
Practice locations: Delaware, OH; Lima, OH

National Provider Directory

National Provider Directory
Tax ID family
Delaware Family Eyecare2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1689041477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W CENTRAL AVE",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151905",
            "telephone_number": "419-569-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 GRANDVIEW AVE",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151039",
            "telephone_number": "419-228-3800",
            "fax_number": "419-222-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIONAL ADVANTAGE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "KOCHER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-228-3800",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.