NPIMap

Organization Active NPI

Mark D & Kathryn E Fenton

  • Eyewear Supplier
  • Wilmington, OH
National Provider Identifier
1699932863
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
4190 Issued in OH
Legal business name
MARK D & KATHRYN E FENTON
Practice address
151 W Main St
Wilmington, OH 45177-2238
Phone
(937) 382-6643
Fax
(937) 382-6644
NPI assigned
May 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Dr. Kathryn E Fenton, O.D.NPI 1447229620
Title
Partner
Phone
(937) 382-6643

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
Eyewear Supplier 332H00000X 4190 OH Primary

Addresses

Primary practice location

151 W Main St
Wilmington, OH 45177-2238

Mailing address

151 W Main St
Wilmington, OH 45177-2238
Phone (937) 382-6643

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1699932863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 W MAIN ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772238",
            "telephone_number": "937-382-6643",
            "fax_number": "937-382-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W MAIN ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772238",
            "telephone_number": "937-382-6643",
            "fax_number": "937-382-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D & KATHRYN E FENTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "937-382-6643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "4190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.