Organization Active NPI

Ravenna Optical Family Practice LLC

  • Optometrist
  • Ravenna, OH
National Provider Identifier
1760834212
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT6463 Issued in OH
Legal business name
RAVENNA OPTICAL FAMILY PRACTICE LLC
Practice address
101 E Main St
Ravenna, OH 44266-3101
Phone
(330) 297-1419
NPI assigned
Jul 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Authorized official

Name
Dr. Natasha Hindman, OD
Title
Optometrist
Phone
(412) 925-8093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT6463 OH Primary

Addresses

Primary practice location

101 E Main St
Ravenna, OH 44266-3101

Mailing address

101 E Main St
Ravenna, OH 44266-3101
Phone (330) 297-1419

National Provider Directory

National Provider Directory

Locations

101 E Main St
Ravenna, OH 44266
Phone (330) 297-1419

NPI Registry JSON

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1760834212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MAIN ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663101",
            "telephone_number": "330-297-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MAIN ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663101",
            "telephone_number": "330-297-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVENNA OPTICAL FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "HINDMAN",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "412-925-8093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT6463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.