Organization Active NPI

University Primary Care Practices Inc

Doing business as UHMP Ophthalmology

  • Ophthalmology Physician
  • Mentor, OH
National Provider Identifier
1023134012
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
UNIVERSITY PRIMARY CARE PRACTICES INC
Doing business as
UHMP Ophthalmology
Practice address
9000 Mentor Ave Ste 102
Mentor, OH 44060-4497
Phone
(216) 383-5900
Fax
(216) 383-5933
NPI assigned
Mar 21, 2007
Last updated
May 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Dr. Christopher Miller, MD
Title
President, Uh Clinical Network
Phone
(513) 558-8090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

9000 Mentor Ave Ste 102
Mentor, OH 44060-4497

Mailing address

PO Box 772040
Detroit, MI 48277-2040
Phone (216) 383-5900

Other names 2

  • UHMP Ophthalmology Doing business as
  • UHMP - OPTHALMOGISTS Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031125000767 OH Part B Supplier - Clinic/Group Practice 3072417534 Receives reassigned benefits from 1,508 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1023134012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772040",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482772040",
            "telephone_number": "216-383-5900",
            "fax_number": "216-383-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 MENTOR AVE STE 102",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604497",
            "telephone_number": "216-383-5900",
            "fax_number": "216-383-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PRIMARY CARE PRACTICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT, UH CLINICAL NETWORK",
        "authorized_official_telephone_number": "513-558-8090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UHMP Ophthalmology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UHMP - OPTHALMOGISTS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.