Procare Vision Center

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

403SC Issued in OH

Legal business name

PROCARE VISION CENTER

Practice address

343 W Bagley Rd
Suite 106
Berea, OH 44017-1370

Phone

(440) 891-1940

Fax

(440) 891-9028

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

James A Rump, L.D.O.

Title

Owner

Phone

(440) 891-1940

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mary C. Gerhart, O.D.

  • Optometrist
  • Berea, OH
  • NPI 1568483972
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902933294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 W BAGLEY RD",
            "address_2": "SUITE 106",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171370",
            "telephone_number": "440-891-1940",
            "fax_number": "440-891-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 W BAGLEY RD",
            "address_2": "SUITE 106",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171370",
            "telephone_number": "440-891-1940",
            "fax_number": "440-891-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUMP",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-891-1940",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "403SC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erini Poulos, RN
• Michael Charles Powell, RN
• Sukwinder Powell
• Alfred Preston, QMHS, CMS
• Primcare Transportation Services
• Ciara Pruitt
• Carol L Pryor
• Jordan Christian Puccinelli, LPCC M.ED
• Crystal Marie Pugh, LSW
• Giuliana Pugliese, QMHS BA

• Eyewear Supplier in Berea, OH
• Providers in Berea, OH by specialty
• Eyewear Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.