Organization Active NPI

Teknipp Eyecare

  • Eyewear Supplier
  • Willowick, OH
National Provider Identifier
1750600151
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OH-3414 Issued in OH
Legal business name
TEKNIPP EYECARE
Practice address
30021 Vine St.
Willowick, OH 44095-3572
Phone
(440) 347-0696
Fax
(440) 944-0881
NPI assigned
May 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
Mr. Paul William Teknipp, OPTICIAN
Title
President
Phone
(440) 347-0696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OH-3414 OH Primary

Addresses

Primary practice location

30021 Vine St.
Willowick, OH 44095-3572

Mailing address

30021 Vine St.
Willowick, OH 44095-3572
Phone (440) 347-0696

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1750600151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30021 VINE ST.",
            "city": "WILLOWICK",
            "state": "OH",
            "postal_code": "440953572",
            "telephone_number": "440-347-0696",
            "fax_number": "440-944-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30021 VINE ST.",
            "city": "WILLOWICK",
            "state": "OH",
            "postal_code": "440953572",
            "telephone_number": "440-347-0696",
            "fax_number": "440-944-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEKNIPP EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "TEKNIPP",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-347-0696",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "OH-3414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowick, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.