North Coast Eye Care Vermilion, LLC

Organization Active NPI Optometrist · Vermilion, OH

NPI 1982900965 · NPPES record last updated Aug 23, 2012

Key facts

NPI
1982900965
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
License
4513 (OH)
Legal business name
NORTH COAST EYE CARE VERMILION, LLC
Practice address
5491 Liberty Ave
Vermilion, OH 44089-1307
Phone
(440) 967-2020
Fax
(440) 967-3228
NPI assigned
Feb 8, 2011
Organization subpart
No

Authorized official

Name
Dr. David A Delprincipe, O.D. NPI 1679514756
Title
Owner
Phone
(440) 967-2020

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

Practitioners 3

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20120702000223 OH Part B Supplier - Clinic/Group Practice 7012172794 Receives reassigned benefits from 1 practitioner
Practice locations: Vermilion, OH

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP
152W00000X 4513 OH Yes

Addresses

Primary practice location

5491 Liberty Ave
Vermilion, OH 44089-1307

Mailing address

5491 Liberty Ave
Vermilion, OH 44089-1307
Phone (440) 967-2020

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 23, 2012.

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1982900965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5491 LIBERTY AVE",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440891307",
            "telephone_number": "440-967-2020",
            "fax_number": "440-967-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5491 LIBERTY AVE",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440891307",
            "telephone_number": "440-967-2020",
            "fax_number": "440-967-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST EYE CARE VERMILION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "DELPRINCIPE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-967-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vermilion, OH

All providers in Vermilion, OH · Optometrist in Ohio

Sources for this page

Verify at the official NPI Registry.