NPIMap

Organization Active NPI

Jean a. Wrightnour, O.D. Inc.

  • Optometrist
  • Ashtabula, OH
National Provider Identifier
1821289992
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4064/T709 Issued in OH
Legal business name
JEAN A. WRIGHTNOUR, O.D. INC.
Practice address
517 W Prospect Rd Ste B
Ashtabula, OH 44004-5864
Phone
(440) 992-9416
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Dr. Jean A. Wrightnour, ODNPI 1932184553
Title
Owner
Phone
(440) 992-9416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4064/T709 OH Primary

Addresses

Primary practice location

517 W Prospect Rd Ste B
Ashtabula, OH 44004-5864

Mailing address

517 W Prospect Rd Ste B
Ashtabula, OH 44004-5864
Phone (440) 992-9416

Other identifiers 1

IdentifierTypeStateIssuer
0714614MedicaidOH

National Provider Directory

National Provider Directory

Locations

517 W Prospect Rd
Ste B
Ashtabula, OH 44004
Phone (440) 992-9416

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": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1821289992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 W PROSPECT RD STE B",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440045864",
            "telephone_number": "440-992-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 W PROSPECT RD STE B",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440045864",
            "telephone_number": "440-992-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN A. WRIGHTNOUR, O.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "WRIGHTNOUR",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-992-9416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4064/T709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0714614",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.