Organization Active NPI

Full Sail Partners

Doing business as Vision Center @ Meijer

  • Ophthalmology Physician
  • Canal Winchester, OH
National Provider Identifier
1922273226
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
FULL SAIL PARTNERS
Doing business as
Vision Center @ Meijer
Practice address
8300 Meijer Dr
Canal Winchester, OH 43110-7400
Phone
(614) 920-1643
Fax
(614) 920-1643
NPI assigned
Apr 28, 2008
Last updated
Apr 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Eric J Bertrand
Title
Owner
Phone
(614) 920-1643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

8300 Meijer Dr
Canal Winchester, OH 43110-7400

Mailing address

8300 Meijer Dr
Canal Winchester, OH 43110-7400
Phone (614) 920-1643

Other names 1

  • Vision Center @ Meijer Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Full Sail Partners LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1922273226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 MEIJER DR",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431107400",
            "telephone_number": "614-920-1643",
            "fax_number": "614-920-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 MEIJER DR",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431107400",
            "telephone_number": "614-920-1643",
            "fax_number": "614-920-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL SAIL PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "BERTRAND",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-920-1643"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Center @ Meijer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canal Winchester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.