NPIMap

Organization Active NPI

Brian Kleshinski OD Inc

  • Optometrist
  • Mansfield, OH
National Provider Identifier
1972813426
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3476 T565 Issued in OH
Legal business name
BRIAN KLESHINSKI OD INC
Practice address
1341 Lexington Ave
Mansfield, OH 44907-2614
Phone
(419) 756-0081
NPI assigned
Oct 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Dr. Brian Kleshinski, O.D.
Title
Owner
Phone
(419) 756-0081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3476 T565 OH Primary

Addresses

Primary practice location

1341 Lexington Ave
Mansfield, OH 44907-2614

Mailing address

1341 Lexington Ave
Mansfield, OH 44907-2614
Phone (419) 756-0081

Other identifiers 1

IdentifierTypeStateIssuer
0448831MedicaidOH

National Provider Directory

National Provider Directory

Locations

1341 Lexington Ave
Mansfield, OH 44907
Phone (419) 756-0081

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1972813426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 LEXINGTON AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072614",
            "telephone_number": "419-756-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 LEXINGTON AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072614",
            "telephone_number": "419-756-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN KLESHINSKI OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "KLESHINSKI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-756-0081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3476 T565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0448831",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.