Organization Active NPI

Todd D Werstler OD

  • Eyewear Supplier
  • North Canton, OH
National Provider Identifier
1912152158
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
3506 Issued in OH
Legal business name
TODD D WERSTLER OD
Practice address
822 S Main St
North Canton, OH 44720-3157
Phone
(330) 494-0924
Fax
(330) 494-4633
NPI assigned
Dec 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Authorized official

Name
Dr. Todd D Werstler, OD
Title
Owner
Phone
(330) 494-0924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 3506 OH Primary

Addresses

Primary practice location

822 S Main St
North Canton, OH 44720-3157

Mailing address

822 S Main St
North Canton, OH 44720-3157
Phone (330) 494-0924

Other identifiers 1

IdentifierTypeStateIssuer
0444120MedicaidOH

National Provider Directory

National Provider Directory

Locations

822 S Main St
North Canton, OH 44720
Phone (330) 494-0924

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1912152158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S MAIN ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447203157",
            "telephone_number": "330-494-0924",
            "fax_number": "330-494-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S MAIN ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447203157",
            "telephone_number": "330-494-0924",
            "fax_number": "330-494-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD D WERSTLER OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "WERSTLER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-494-0924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "3506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0444120",
            "state": "OH"
        }
    ],
    "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 May 12, 2009; 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.