Organization Active NPI

Canton Optometry Corporation

  • Optometrist
  • North Canton, OH
National Provider Identifier
1841307675
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CANTON OPTOMETRY CORPORATION
Practice address
4865 Frank Ave NW
North Canton, OH 44720-7425
Phone
(330) 494-1710
Fax
(330) 494-5815
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Authorized official

Name
Dr. William Shendelas, O.D.
Title
Doctor
Phone
(330) 494-1710

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary
Corneal and Contact Management OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WC0802X

Addresses

Primary practice location

4865 Frank Ave NW
North Canton, OH 44720-7425

Mailing address

4865 Frank Ave NW
North Canton, OH 44720-7425
Phone (330) 494-1710

National Provider Directory

National Provider Directory

Locations

1361 Cherry Ave NE
Canton, OH 44714
Phone (216) 452-3644

4865 Frank Ave NW
North Canton, OH 44720
Phone (330) 494-1710

8100 Cleveland Ave NW
North Canton, OH 44720
Phone (330) 305-9999

Practitioners & affiliated clinicians

Practitioners 2

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": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1841307675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4865 FRANK AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207425",
            "telephone_number": "330-494-1710",
            "fax_number": "330-494-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4865 FRANK AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207425",
            "telephone_number": "330-494-1710",
            "fax_number": "330-494-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON OPTOMETRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "SHENDELAS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "330-494-1710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.