Organization Active NPI

Maumee Eye Clinic, Inc.

  • Ophthalmology Physician
  • Maumee, OH
National Provider Identifier
1013956887
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MAUMEE EYE CLINIC, INC.
Practice address
5655 Monclova Rd
Maumee, OH 43537-1835
Phone
(419) 893-4883
Fax
(419) 893-2312
NPI assigned
Jun 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Debbie L Iott
Title
Office Manager
Phone
(419) 893-4883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

5655 Monclova Rd
Maumee, OH 43537-1835

Mailing address

5655 Monclova Rd
Maumee, OH 43537-1835
Phone (419) 893-4883

Other identifiers 1

IdentifierTypeStateIssuer
2346161MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013956887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 MONCLOVA RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371835",
            "telephone_number": "419-893-4883",
            "fax_number": "419-893-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 MONCLOVA RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371835",
            "telephone_number": "419-893-4883",
            "fax_number": "419-893-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUMEE EYE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IOTT",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "419-893-4883"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2346161",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.