Organization Active NPI

Practice of Optometry Inc.

  • Optometrist
  • Jackson, OH
National Provider Identifier
1770721250
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3845T768 Issued in OH
Legal business name
PRACTICE OF OPTOMETRY INC.
Practice address
731 E Main St
Jackson, OH 45640-2100
Phone
(740) 286-5554
Fax
(740) 286-5554
NPI assigned
Jan 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Authorized official

Name
Dr. Steven W. Binns, O.D.NPI 1225066590
Title
Optometrist
Phone
(740) 286-5554

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3845T768 OH Primary

Addresses

Primary practice location

731 E Main St
Jackson, OH 45640-2100

Mailing address

731 E Main St
Jackson, OH 45640-2100
Phone (740) 286-5554

Other identifiers 1

IdentifierTypeStateIssuer
2102414MedicaidOH

National Provider Directory

National Provider Directory

Locations

731 E Main St
Ste 15
Jackson, OH 45640
Phone (740) 286-5554

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": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1770721250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 E MAIN ST",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456402100",
            "telephone_number": "740-286-5554",
            "fax_number": "740-286-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 E MAIN ST",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456402100",
            "telephone_number": "740-286-5554",
            "fax_number": "740-286-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICE OF OPTOMETRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "BINNS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "740-286-5554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3845T768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2102414",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.