Van Wert Vision LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3921/T1214 Issued in OH

Legal business name

VAN WERT VISION LTD

Practice address

1183 Westwood Dr
Van Wert, OH 45891-2464

Phone

(419) 238-9244

Fax

(419) 238-4695

NPI assigned

Jul 11, 2007

Last updated

Feb 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark A Bidlack, ODNPI 1356312888

Title

Optometrist

Phone

(419) 238-9244

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 2

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.

• Mark Alan Bidlack, O.D.

  • Optometrist
  • Van Wert, OH
  • NPI 1356312888
  Medicare reassignment Care Compare group NPD Authorized official
• Darrin James Karcher, OD

  • Optometrist
  • Van Wert, OH
  • NPI 1235100652
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1699973677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 WESTWOOD DR",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912464",
            "telephone_number": "419-238-9244",
            "fax_number": "419-238-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 WESTWOOD DR",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912464",
            "telephone_number": "419-238-9244",
            "fax_number": "419-238-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN WERT VISION LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "BIDLACK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "419-238-9244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3921/T1214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "152WOOOOOX",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Van Wert County Office of Auditor (Van Wert County Health Department)
• Van Wert Medical Services, LTD. (Van Wert Medical Services - DME)
• Van Wert Medical Services, LTD.
• Van Wert Medical Services, LTD.
• Van Wert Medical Services, LTD. (Van Wert North)
• Brandon M Verhoff
• Vna Comprehensive Services, Inc. (Private Duty of Vna)
• VW Anesthesia, Inc.
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1333)
• Wal-Mart Stores East, LP (Vision Center 30-1333)

• Optometrist in Van Wert, OH
• Providers in Van Wert, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.