Organization Active NPI

Milford Eye Care, Inc.

  • Optometrist
  • Milford, OH
National Provider Identifier
1003229303
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3266 Issued in OH
Legal business name
MILFORD EYE CARE, INC.
Practice address
1107 Allen Dr
Suite C
Milford, OH 45150-8033
Phone
(513) 965-2020
Fax
(513) 965-2025
NPI assigned
Jun 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Authorized official

Name
Ms. Erin Jennings
Title
Manager
Phone
(513) 965-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3266 OH Primary

Addresses

Primary practice location

1107 Allen Dr
Suite C
Milford, OH 45150-8033

Mailing address

1107 Allen Dr
Suite C
Milford, OH 45150-8033
Phone (513) 965-2020

Other identifiers 2

IdentifierTypeStateIssuer
0432774OtherOHMEDICARE
0324714MedicaidOH

Other names 1

  • Milford Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140606001810 OH Part B Supplier - Clinic/Group Practice 0941424295 Receives reassigned benefits from 5 practitioners
Practice locations: Milford, OH

National Provider Directory

National Provider Directory

Locations

1107 Allen Dr
Ste C
Milford, OH 45150
Phone (513) 965-2020

1107 Allen Dr
Milford, OH 45150
Phone (513) 831-1941

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1003229303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 ALLEN DR",
            "address_2": "SUITE C",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451508033",
            "telephone_number": "513-965-2020",
            "fax_number": "513-965-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 ALLEN DR",
            "address_2": "SUITE C",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451508033",
            "telephone_number": "513-965-2020",
            "fax_number": "513-965-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILFORD EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "513-965-2020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0432774",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0324714",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milford Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Milford Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.