1497357081 NPI number — NEWARK VISION CARE LLC

Table of content: (NPI 1497357081)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497357081 NPI number — NEWARK VISION CARE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEWARK VISION CARE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
TRILLIUM VISION CARE OF NEW LEXINGTON, LLC
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497357081
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/04/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 540
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW LEXINGTON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43764-0540
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
740-342-1784
Provider Business Mailing Address Fax Number:
740-342-1791

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
391 LINCOLN PARK DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW LEXINGTON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43764-1080
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-342-1784
Provider Business Practice Location Address Fax Number:
740-342-1791
Provider Enumeration Date:
11/10/2020

Additional Information

Authorized Official

Authorized Official Last Name:
RYEN
Authorized Official First Name:
DOUGLAS
Authorized Official Middle Name:
J
Authorized Official Title or Position:
PRESIDENT/OWNDER
Authorized Official Telephone Number:
614-893-8114

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0425236 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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