Active NPI
George Landon, O.D.
- Optometrist
- Harrison, OH
National Provider Identifier
1871657502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2914
- Practice address
- 10051A Simonson Road
Suite 3
Harrison, OH 45030-2163 - Phone
- (513) 367-4262
- Fax
- (513) 367-1643
- NPI assigned
- Dec 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2914 | OH | Primary |
Addresses
Primary practice location
10051A Simonson Road
Suite 3
Harrison, OH 45030-2163
Mailing address
10051A Simonson Road
Suite 3
Harrison, OH 45030-2163
Phone (513) 367-4262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2914 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooke Landen & Grutzmacher OD Inc | Optometrist | Past | Accepting new patients |
| DRS Ronald Cooke & George Landon Optometrists LLC | Optometrist | Past | Accepting new patients |
| DRS Cooke, Landon & Sellers, Optometrist, P.S.C | Optometrist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Opticare Vision Center
- Optometrist
- Cincinnati, OH
- NPI 1154402493
-
- Optometrist
- Harrison, OH
- NPI 1265447221
-
dba Opticare Vision Center
- Optometrist
- Newport, KY
- NPI 1699837427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871657502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10051A SIMONSON ROAD",
"address_2": "SUITE 3",
"city": "HARRISON",
"state": "OH",
"postal_code": "450302163",
"telephone_number": "513-367-4262",
"fax_number": "513-367-1643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10051A SIMONSON ROAD",
"address_2": "SUITE 3",
"city": "HARRISON",
"state": "OH",
"postal_code": "450302163",
"telephone_number": "513-367-4262",
"fax_number": "513-367-1643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDON",
"first_name": "GEORGE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "2914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrison, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.