Organization Active NPI

Ohio Optometric Consultants Inc.

  • Optometrist
  • Avon Lake, OH
National Provider Identifier
1730324401
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4281T463 Issued in OH
Legal business name
OHIO OPTOMETRIC CONSULTANTS INC.
Practice address
33398 Walker Rd
Ste. B
Avon Lake, OH 44012-1496
Phone
(440) 933-3214
Fax
(440) 933-4924
NPI assigned
Dec 10, 2008
Last updated
Dec 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Authorized official

Name
Dr. Michael P Good, O.D.NPI 1497886402
Title
Doctor
Phone
(440) 933-3214

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4281T463 OH Primary

Addresses

Primary practice location

33398 Walker Rd
Ste. B
Avon Lake, OH 44012-1496

Mailing address

33398 Walker Rd
Ste. B
Avon Lake, OH 44012-1496
Phone (440) 933-3214

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2047861Ohio Optometric Consultants Inc33398 Walker Road, Avon Lake, OH 44012Certificate of waiverOct 3, 2026

National Provider Directory

National Provider Directory

Locations

33398 Walker Rd
Ste B
Avon Lake, OH 44012
Phone (440) 933-3214

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": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1730324401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33398 WALKER RD",
            "address_2": "STE. B",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440121496",
            "telephone_number": "440-933-3214",
            "fax_number": "440-933-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33398 WALKER RD",
            "address_2": "STE. B",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440121496",
            "telephone_number": "440-933-3214",
            "fax_number": "440-933-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO OPTOMETRIC CONSULTANTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "GOOD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "440-933-3214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4281T463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon Lake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.