Innovative Optics,Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

INNOVATIVE OPTICS,INC

Doing business as

Dr.McCullough's Vision Center

Practice address

618 S 2ND St
Coshocton, OH 43812-1909

Phone

(740) 623-0110

Fax

(740) 623-0318

NPI assigned

Apr 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Richard L McCullough, ODNPI 1992809057

Title

Owner/Doctor

Phone

(740) 623-0110

Specialties & licenses 1

Addresses

Other names 1

• Dr.McCullough's Vision Center Doing business as

Locations

Practitioners 1

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

• Richard McCullough, OD

  • Optometrist
  • Coshocton, OH
  • NPI 1992809057
  NPD (past) Authorized official

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1730323320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 S 2ND ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121909",
            "telephone_number": "740-623-0110",
            "fax_number": "740-623-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 S 2ND ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121909",
            "telephone_number": "740-623-0110",
            "fax_number": "740-623-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE OPTICS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "740-623-0110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr.McCullough's Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Hunt, HCP
• Janell Lynn Hutchinson
• Illume Chiropractic, LLC
• Sarah Ann Ingram
• Innovative Optics Inc. (Dr.Mcculloughs Vision Center)
• Intermedic, Intergrated Medical Service
• Sarah Irby
• Jessica Jacobs, LPN
• Kaila J Jacobs
• John M Smilo DPM

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.