NPIMap

Organization Active NPI

Mark D Pifer & Chris a Calaway

  • Optometrist
  • Barberton, OH
National Provider Identifier
1740374305
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3522 Issued in OH
Legal business name
MARK D PIFER & CHRIS A CALAWAY
Practice address
31 Conservatory Dr
Barberton, OH 44203
Phone
(330) 745-1969
Fax
(330) 753-9162
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Chris Allan Calaway, O.D.NPI 1639165640
Title
Partner
Phone
(330) 745-1969

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3522 OH Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

31 Conservatory Dr
Barberton, OH 44203

Mailing address

31 Conservatory Dr
Barberton, OH 44203
Phone (330) 745-1969

Other identifiers 1

IdentifierTypeStateIssuer
0812188MedicaidOH

Other names 1

  • Mobil Optometric Service LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1740374305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 CONSERVATORY DR",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "44203",
            "telephone_number": "330-745-1969",
            "fax_number": "330-753-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 CONSERVATORY DR",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "44203",
            "telephone_number": "330-745-1969",
            "fax_number": "330-753-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D PIFER & CHRIS A CALAWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "CALAWAY",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "330-745-1969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3522",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0812188",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobil Optometric Service LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barberton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.