NORTHSIDE OPTICAL LLC (NPI# 1306061379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306061379 |
| Entity Type | Organization |
| Organization Name | NORTHSIDE OPTICAL LLC |
| Other Organization Name | DESIGNER EYEWEAR OUTLET |
| Practice Address |
140 North Barron St Eaton OH 45320 |
| Practice Telephone | 9374723937 |
| Practice Fax Number | 9374723937 |
| Mailing Telephone | 9374723937 |
| Mailing Fax Number | 9374723937 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. PEGGY LOU BARKER (LICENSED OPTICIAN) |
| Authorized Official Telephone | 9374723366 |
| Authorized Official Credential | LICENSED OPTICIA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
SC2262 | OH | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2618359 | 05 |
| Other Name | Type Code |
|---|---|
| Designer Eyewear Outlet | Doing Business As Name - Organization |
| Street Address |
140 NORTH BARRON ST |
| City | EATON |
| State | OH |
| Zip Code | 45320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144676776 | Samantha Chrismer | Specialist/Technologist | 209 Debbie Dr, Eaton, OH 45320 | 2016-05-12 |
| 1316307465 | Elizabeth Ann Davison | Specialist/Technologist | 112 Fiord Drive, Eaton, OH 45320 | 2016-03-02 |
| 1073916714 | Claudia A Purdon | Registered Nurse | 2072 Route 127 North, Eaton, OH 45320 | 2014-10-08 |
| 1023424629 | Aileen Erbacher | Counselor | 225 N. Barron St., Eaton, OH 45320 | 2014-07-03 |
| 1871811992 | Jessica Leigh Falkner | Licensed Practical Nurse | 115 E Mechanic St, Eaton, OH 45320 | 2010-05-13 |
| 1407090087 | Jayne M. Prushing | Occupational Therapist | 911 West Main St., Triangle Therapy Services, LLC, Eaton, OH 45320 | 2009-04-27 |
| 1760621247 | Laura Emrick | Registered Nurse | 211 West Main St, Eaton, OH 45320 | 2009-02-06 |
| 1013106194 | Preble County Regional Dialysis Inc | Clinic/Center | 450 D Washington Jackson Rd, Eaton, OH 45320 | 2007-10-15 |
| 1548453483 | Nancy Reed | Massage Therapist | 36 Shield Dr, Eaton, OH 45320 | 2007-08-23 |
| 1710182597 | Catherine Christine Thacker | Massage Therapist | 115 W Main Street, Eaton, OH 45320 | 2007-06-20 |
| Find all providers in zip 45320 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154502706 | America's Best Contacts & Eyeglasses | Technician/Technologist | 769 S. 25th Street, Eaton, PA 18042 | 2007-11-23 |
| 1427130970 | Wal-mart Stores East, Lp | Technician/Technologist | 100a E Washington Jackson Rd, Eaton, OH 45320-9729 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174133466 | Robert James Hessler | Technician/Technologist | 21 S Ridge Dr, Amelia, OH 45102-2358 | 2020-08-03 |
| 1265068605 | Cathy Sue Bigley | Technician/Technologist | 41 Pineview Dr, Oregon, OH 43616-2636 | 2020-03-17 |
| 1003377045 | Erikka Hermiller | Technician/Technologist | 517 Monroe Ave, Findlay, OH 45840-3739 | 2019-03-30 |
| 1215496989 | National Vision Inc | Technician/Technologist | 2227 State Route 256 Unit A, Reynoldsburg, OH 43068-9326 | 2019-03-13 |
| 1033675988 | Racquel Montijo Montijo | Technician/Technologist | 7410 Jameson Rd, Parma, OH 44129-2816 | 2019-02-15 |
| 1053885244 | National Vision Inc | Technician/Technologist | 4172 Buckeye Pkwy, Grove City, OH 43123-8175 | 2019-01-22 |
| 1093233306 | Robin P Wiley | Technician/Technologist | 3643 Countryside Ln, Avon, OH 44011-2623 | 2017-09-07 |
| 1851827596 | Linda Fitzgerald | Technician/Technologist | 777 Presidential Dr, Youngstown, OH 44512-5714 | 2017-05-01 |
| 1477091296 | Rachelle Nieves | Technician/Technologist | 30426 Euclid Ave, Wickliffe, OH 44092-1578 | 2017-02-01 |
| 1992255038 | John E Stuckey | Technician/Technologist | 104 S Miami St, West Milton, OH 45383-1551 | 2016-10-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.