North Star Vision Center at Schrock, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3605 Issued in OH

Legal business name

NORTH STAR VISION CENTER AT SCHROCK, INC.

Practice address

1680 Schrock Rd
Columbus, OH 43229-1574

Phone

(614) 882-2223

Fax

(614) 891-8415

NPI assigned

Sep 7, 2006

Organization subpart

Yes

Parent organization

NORTH STAR VISION CENTER AT SCHROCK, INC.As reported in NPPES

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

Authorized official

Name

Mr. Michael P Gilliland, O.D.NPI 1528038825

Title

Optometrist

Phone

(614) 882-2223

Specialties & licenses 1

Addresses

Other identifiers 3

Part of

North Star Vision Cente

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael P Gilliland, O.D.

  • Optometrist
  • Columbus, OH
  • NPI 1528038825
  NPD (past) Authorized official
• Daniel J Rozzo, O.D.

  • Optometrist
  • Lancaster, OH
  • NPI 1487624789
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1902909468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 SCHROCK RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291574",
            "telephone_number": "614-882-2223",
            "fax_number": "614-891-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 SCHROCK RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291574",
            "telephone_number": "614-882-2223",
            "fax_number": "614-891-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR VISION CENTER AT SCHROCK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH STAR VISION CENTER AT SCHROCK, INC.",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "GILLILAND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "614-882-2223",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2200189",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "281566897003",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "00000019111",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.

Verify at the official NPI Registry.