Organization Active NPI

Tri Cities Eye Care, PLC

Doing business as Oakwood Optical

  • Optometrist
  • Battle Creek, MI
National Provider Identifier
1801291091
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TRI CITIES EYE CARE, PLC
Doing business as
Oakwood Optical
Practice address
365 Capital Ave NE
Battle Creek, MI 49017-4829
Phone
(269) 962-4011
NPI assigned
Oct 30, 2014
Last updated
Oct 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Authorized official

Name
Dr. Mark Augusto Ventocilla, OD
Title
Its Owner
Phone
(269) 962-4011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

365 Capital Ave NE
Battle Creek, MI 49017-4829

Mailing address

365 Capital Ave NE
Battle Creek, MI 49017-4829
Phone (269) 962-4011

Other names 1

  • Oakwood Optical Doing business as

National Provider Directory

National Provider Directory

Locations

365 Capital Ave NE
Battle Creek, MI 49017
Phone (269) 962-4011

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": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1801291091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 CAPITAL AVE NE",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490174829",
            "telephone_number": "269-962-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 CAPITAL AVE NE",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490174829",
            "telephone_number": "269-962-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI CITIES EYE CARE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "VENTOCILLA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "AUGUSTO",
        "authorized_official_title_or_position": "ITS OWNER",
        "authorized_official_telephone_number": "269-962-4011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakwood Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.