John T Archer & Associates Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

06015853 Issued in OH

Legal business name

JOHN T ARCHER & ASSOCIATES INC

Doing business as

Premier Vision Group

Practice address

208 N Main St
Minster, OH 45865-1121

Phone

(419) 628-3017

Fax

(419) 628-8208

NPI assigned

Feb 21, 2007

Last updated

May 1, 2013By 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. Christa B. Heckman, O.D.NPI 1043313695

Title

Optometrist

Phone

(419) 628-3017

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Premier Vision Group Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• John T Archer & Associates Inc

  dba Premier Vision Group

  • Optometrist
  • Bowling Green, OH
  • NPI 1245333715

  O20040412000810

  Same enrollment
• John T Archer & Associates Inc

  dba Premier Vision Group

  • Optometrist
  • Lima, OH
  • NPI 1366571846

  O20040412000810

  Same enrollment
• John T Archer & Associates Inc

  • Optometrist
  • Toledo, OH
  • NPI 1801729488

  O20040412000810

  Same enrollment
• John T Archer & Associates Inc

  dba Premier Vision Group

  • Optometrist
  • Northwood, OH
  • NPI 1821679705

  O20040412000810

  Same enrollment

Locations

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.

• Christa Heckman, O.D.

  • Optometrist
  • Lima, OH
  • NPI 1043313695
  Authorized official Same address or phone

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1740325307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 N MAIN ST",
            "city": "MINSTER",
            "state": "OH",
            "postal_code": "458651121",
            "telephone_number": "419-628-3017",
            "fax_number": "419-628-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N MAIN ST",
            "city": "MINSTER",
            "state": "OH",
            "postal_code": "458651121",
            "telephone_number": "419-628-3017",
            "fax_number": "419-628-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN T ARCHER & ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "HECKMAN",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "419-628-3017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "06015853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2600868",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Vision Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Aimee K Jenkins, PT
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• Bonnie Killian
• Claire Elenore Kleinhenz, RN, BSN, IBCLC
• Tara M Klosterman, PT
• Kimberly L Knapke, OT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.