Organization Active NPI

Dreffer, Hicks, & Demos O.D. Inc.

Doing business as Family Eye Care Centers

  • Optometrist
  • Clyde, OH
National Provider Identifier
1043330871
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5022 Issued in OH
Legal business name
DREFFER, HICKS, & DEMOS O.D. INC.
Doing business as
Family Eye Care Centers
Practice address
1074 West McPherson Highway
Clyde, OH 43410
Phone
(419) 547-9126
Fax
(419) 547-0387
NPI assigned
Mar 29, 2007
Last updated
Mar 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Authorized official

Name
Dr. Heather M Demos, O.D.
Title
Optomotrist
Phone
(419) 547-9126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 5022 OH Primary

Addresses

Primary practice location

1074 West McPherson Highway
Clyde, OH 43410

Mailing address

1074 West McPherson Highway
Clyde, OH 43410
Phone (419) 547-9126

Other names 1

  • Family Eye Care Centers Doing business as

National Provider Directory

National Provider Directory

Locations

1074 W McPherson Hwy
Clyde, OH 43410
Phone (419) 547-9126

2331 Columbus Ave
Sandusky, OH 44870
Phone (419) 626-0272

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1043330871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1074 WEST MCPHERSON HIGHWAY",
            "city": "CLYDE",
            "state": "OH",
            "postal_code": "43410",
            "telephone_number": "419-547-9126",
            "fax_number": "419-547-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 WEST MCPHERSON HIGHWAY",
            "city": "CLYDE",
            "state": "OH",
            "postal_code": "43410",
            "telephone_number": "419-547-9126",
            "fax_number": "419-547-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREFFER, HICKS, & DEMOS O.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "DEMOS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMOTRIST",
        "authorized_official_telephone_number": "419-547-9126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eye Care Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clyde, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.