Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 152WC0802X | Optometrist | Corneal and Contact Management | 5919 T2833 | OHIO | No |
| 2 | 152WL0500X | Optometrist | Low Vision Rehabilitation | 5919 T2833 | OHIO | No |
| 3 | 152W00000X | Optometrist | | 5919 T2833 | OHIO | Yes |