NPIMap

Organization Active NPI

Valley Eye Institute Inc

  • Ophthalmology Physician
  • Sidney, OH
National Provider Identifier
1033145180
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
3380 Issued in OH
Legal business name
VALLEY EYE INSTITUTE INC
Practice address
1118 Fairington Dr
Sidney, OH 45365-8913
Phone
(937) 492-3755
Fax
(937) 492-1132
NPI assigned
Jun 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Dr. Michael Lee Stark
Title
Owner
Phone
(937) 492-3755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 3380 OH Primary

Addresses

Primary practice location

1118 Fairington Dr
Sidney, OH 45365-8913

Mailing address

1118 Fairington Dr
Sidney, OH 45365-8913
Phone (937) 492-3755

Other identifiers 1

IdentifierTypeStateIssuer
2344234MedicaidOH

National Provider Directory

National Provider Directory

Locations

5363 Balboa Blvd
Ste 545
Encino, CA 91316
Phone (818) 906-2929

5363 Balboa Blvd
Ste 540
Encino, CA 91316
Phone (818) 905-6600

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1033145180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 FAIRINGTON DR",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453658913",
            "telephone_number": "937-492-3755",
            "fax_number": "937-492-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 FAIRINGTON DR",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453658913",
            "telephone_number": "937-492-3755",
            "fax_number": "937-492-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY EYE INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-492-3755",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "3380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2344234",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.