NPIMap

Organization Active NPI

Belden Optometry LLC

  • Optometrist
  • Canton, OH
National Provider Identifier
1972049716
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3420/T494 Issued in OH
Legal business name
BELDEN OPTOMETRY LLC
Practice address
4157 Belden Village Mall
Canton, OH 44718-2501
Phone
(330) 494-4140
Fax
(866) 425-2239
NPI assigned
Jan 18, 2017
Organization subpart
Yes
Parent organization
DR. RICHARD E. HULTS & ASSOC, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Dr. Richard E. Hults, O.D.NPI 1629146972
Title
Presbyopia
Phone
(330) 697-4748

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3420/T494 OH Primary

Addresses

Primary practice location

4157 Belden Village Mall
Canton, OH 44718-2501

Mailing address

4157 Belden Village Mall
Canton, OH 44718-2501
Phone (330) 494-4140

Other names 1

  • Dr. Richard E. Hults & Assoc., Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170317001821 OH Part B Supplier - Clinic/Group Practice 6709161532 Receives reassigned benefits from 6 practitioners
Practice locations: Canton, OH

National Provider Directory

National Provider Directory
Part of
Dr Richard E Hults As

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1972049716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4157 BELDEN VILLAGE MALL",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182501",
            "telephone_number": "330-494-4140",
            "fax_number": "866-425-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4157 BELDEN VILLAGE MALL",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182501",
            "telephone_number": "330-494-4140",
            "fax_number": "866-425-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELDEN OPTOMETRY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. RICHARD E. HULTS & ASSOC, INC.",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "HULTS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESBYOPIA",
        "authorized_official_telephone_number": "330-697-4748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3420/T494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Richard E. Hults & Assoc., Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.