NPIMap

Organization Active NPI

John T Archer & Associates Inc

Doing business as Pemberville Vision Center

  • Optometrist
  • Pemberville, OH
National Provider Identifier
1750467783
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3159T890 Issued in OH
Legal business name
JOHN T ARCHER & ASSOCIATES INC
Doing business as
Pemberville Vision Center
Practice address
213 E Front St
Pemberville, OH 43450-7036
Phone
(419) 287-3287
Fax
(419) 287-3287
NPI assigned
Oct 31, 2006
Last updated
May 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Dr. John T Archer, ODNPI 1568565034
Title
Owner
Phone
(419) 287-3287

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
Optometrist 152W00000X 3159T890 OH Primary

Addresses

Primary practice location

213 E Front St
Pemberville, OH 43450-7036

Mailing address

213 E Front St
Pemberville, OH 43450-7036
Phone (419) 287-3287

Other identifiers 2

IdentifierTypeStateIssuer
03062OtherOHPARAMOUNT HEALTH CARE
0322556MedicaidOH

Other names 1

  • Pemberville Vision Center 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, 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": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1750467783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E FRONT ST",
            "city": "PEMBERVILLE",
            "state": "OH",
            "postal_code": "434507036",
            "telephone_number": "419-287-3287",
            "fax_number": "419-287-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E FRONT ST",
            "city": "PEMBERVILLE",
            "state": "OH",
            "postal_code": "434507036",
            "telephone_number": "419-287-3287",
            "fax_number": "419-287-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN T ARCHER & ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-287-3287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3159T890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT HEALTH CARE",
            "identifier": "03062",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0322556",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pemberville Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pemberville, OH

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.