Organization Active NPI

Ohio Vision of Toledo,Inc.

Doing business as Optivue

  • Ophthalmologic Surgery Clinic/Center
  • Oregon, OH
National Provider Identifier
1053342238
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
0066AS Issued in OH
Legal business name
OHIO VISION OF TOLEDO,INC.
Doing business as
Optivue
Practice address
2740 Navarre Ave
Oregon, OH 43616-3216
Phone
(419) 639-4444
Fax
(419) 697-2149
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Mr. William G. Martin, M.D.
Title
Medical Director
Phone
(419) 693-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X 0066AS OH Primary

Addresses

Primary practice location

2740 Navarre Ave
Oregon, OH 43616-3216

Mailing address

2740 Navarre Ave
Oregon, OH 43616-3216
Phone (419) 639-4444

Other identifiers 5

IdentifierTypeStateIssuer
2354287MedicaidOH
000000500987OtherOHANTHEM
04230OtherOHPARAMOUNT HEALTH CARE
726120OtherOHBUCKEYE
2190657OtherOHUNITED HEALTH CARE

Other names 1

  • Optivue Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1053342238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 NAVARRE AVE",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163216",
            "telephone_number": "419-639-4444",
            "fax_number": "419-697-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 NAVARRE AVE",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163216",
            "telephone_number": "419-639-4444",
            "fax_number": "419-697-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO VISION OF TOLEDO,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "419-693-4444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "OH",
            "license": "0066AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2354287",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000500987",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT HEALTH CARE",
            "identifier": "04230",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE",
            "identifier": "726120",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2190657",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optivue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oregon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.