Active NPI
Mary Lou Nyitray, LDO
- Optician
- Toledo, OH
National Provider Identifier
1013194133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 74SC
- Practice address
- 2934 W Central Ave
Toledo, OH 43606-3022 - Phone
- (419) 535-7837
- Fax
- (419) 535-7838
- NPI assigned
- Jan 31, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 74SC | OH | Primary |
Addresses
Primary practice location
2934 W Central Ave
Toledo, OH 43606-3022
Mailing address
2934 W Central Ave
Toledo, OH 43606-3022
Phone (419) 535-7837
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0170710 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74SC | OH | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optical Arts Inc | Optician | Current | Accepting new patients |
Locations
2934 W Central Ave
Toledo, OH 43606
Phone (419) 535-7837
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201737600000",
"number": "1013194133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2934 W CENTRAL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063022",
"telephone_number": "419-535-7837",
"fax_number": "419-535-7838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2934 W CENTRAL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063022",
"telephone_number": "419-535-7837",
"fax_number": "419-535-7838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYITRAY",
"first_name": "MARY",
"middle_name": "LOU",
"credential": "LDO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-31",
"last_updated": "2008-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "OH",
"license": "74SC",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0170710",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.