Active NPI
University Primary Care Practices Inc
Doing business as UHMP Ophthalmology
- Ophthalmology Physician
- Mentor, OH
National Provider Identifier
1023134012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- UHMP - OPTHALMOGISTS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- University Hospitals Medical Group, Inc.
- University Mednet Inc.
- University Primary Care Practices
- University Primary Care Practices
- University Primary Care Practices Inc
- University Primary Care Practices Inc (University Premier Pediatricians)
- University Primary Care Practices Inc
- University Primary Care Practices Inc
- University Primary Care Practices Inc (UPCP Pulmonary Medicine)
- University Primary Care Practices Inc
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.