Organization Active NPI

North Coast Eye Care Vermilion, LLC

  • Optometrist
  • Vermilion, OH
National Provider Identifier
1982900965
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4513 Issued in 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
Last updated
Aug 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Authorized official

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

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 4513 OH Primary

Addresses

Primary practice location

5491 Liberty Ave
Vermilion, OH 44089-1307

Mailing address

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

Medicare participation

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

Enrollment records 1

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

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; 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.