Wrea II LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

T2249 Issued in OH

Legal business name

WREA II LLC

Practice address

1558 Akron Peninsula Rd
Akron, OH 44313

Phone

(330) 422-9999

Fax

(330) 422-0316

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Authorized official

Name

Sharon Kernig

Title

Office Manager

Phone

(330) 422-9999

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1780696617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 AKRON PENINSULA RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44313",
            "telephone_number": "330-422-9999",
            "fax_number": "330-422-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 AKRON PENINSULA RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44313",
            "telephone_number": "330-422-9999",
            "fax_number": "330-422-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WREA II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "KERNIG",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-422-9999"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "T2249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2549899",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Akron, OH
• Providers in Akron, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.