NPIMap

Organization Active NPI

Eye Care Associates, Inc

  • Optometrist
  • Austintown, OH
National Provider Identifier
1023721297
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE CARE ASSOCIATES, INC
Practice address
Eye Care Associates, Inc.
2670 S. Raccoon Road Suite 1
Austintown, OH 44515-5380
Phone
(330) 746-7691
Fax
(330) 743-8368
NPI assigned
Jan 3, 2023
Last updated
Jan 6, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
EYE CARE ASSOCIATES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Kayla R Wolsiefer
Title
Credentialing Specialist
Phone
(330) 884-6584

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary
Ophthalmology Physician 207W00000X NU

Addresses

Primary practice location

Eye Care Associates, Inc.
2670 S. Raccoon Road Suite 1
Austintown, OH 44515-5380

Mailing address

Eye Care Associates, Inc.
10 Dutton Drive
Youngstown, OH 44502-1818
Phone (330) 884-6584

Other identifiers 2

IdentifierTypeStateIssuer
9914991OtherOHMEDICARE
0010027MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091222000146 OH Part B Supplier - Clinic/Group Practice 0042350118 Receives reassigned benefits from 17 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Youngstown, OH; East Liverpool, OH; Warren, OH; Austintown, OH; Poland, OH

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mark R Levine7 organizations share this tax ID, including this one
Part of
Mark R Levine

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1031 W Western Reserve Rd
Youngstown, OH 44514
Phone (330) 746-7691

2670 S Raccoon Rd
Youngstown, OH 44515
Phone (330) 793-1343

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1023721297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EYE CARE ASSOCIATES, INC.",
            "address_2": "10 DUTTON DRIVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021818",
            "telephone_number": "330-884-6584",
            "fax_number": "330-743-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EYE CARE ASSOCIATES, INC.",
            "address_2": "2670 S. RACCOON ROAD SUITE 1",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445155380",
            "telephone_number": "330-746-7691",
            "fax_number": "330-743-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE ASSOCIATES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE CARE ASSOCIATES, INC",
        "enumeration_date": "2023-01-03",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "WOLSIEFER",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "330-884-6584"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "9914991",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010027",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austintown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.