Provider Demographics
NPI:1821679705
Name:JOHN T ARCHER & ASSOCIATES INC
Entity Type:Organization
Organization Name:JOHN T ARCHER & ASSOCIATES INC
Other - Org Name:PREMIER VISION GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARCHER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:419-228-3937
Mailing Address - Street 1:2540 WOODVILLE RD
Mailing Address - Street 2:
Mailing Address - City:NORTHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:43619-1444
Mailing Address - Country:US
Mailing Address - Phone:419-693-0484
Mailing Address - Fax:419-693-2042
Practice Address - Street 1:2540 WOODVILLE RD
Practice Address - Street 2:
Practice Address - City:NORTHWOOD
Practice Address - State:OH
Practice Address - Zip Code:43619-1444
Practice Address - Country:US
Practice Address - Phone:419-693-0484
Practice Address - Fax:419-693-2042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-21
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty