Individual provider Active NPI

Christopher De Guzman, OD, DIPL. ABO

  • Optometrist
  • Toledo, OH
National Provider Identifier
1063100287
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007119 Issued in OH
Practice address
222 McTigue Dr
Toledo, OH 43615-5164
Phone
(419) 442-7702
Fax
(419) 225-8878
NPI assigned
Apr 26, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.007119 OH Primary

Addresses

Primary practice location

222 McTigue Dr
Toledo, OH 43615-5164

Mailing address

329 N West St
Lima, OH 45801-4332

Other practice location 1

2244 Collingwood Blvd
Toledo, OH 43620-1147
Phone (567) 318-3891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230510001115 OH Practitioner - Optometry 6103282553 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.007119OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Partners of Western Ohio CurrentSince Jan 26, 2023 Accepting new patients
Health Partners of Western Ohio CurrentSince Jan 26, 2023 Accepting new patients
Health Partners of Western Ohio Current Accepting new patients
Health Partners of Western Ohio Past Accepting new patients

Locations

1 Spartan Way
Lima, OH 45801
Phone (419) 222-3546

329 N West St
Lima, OH 45801
Phone (419) 229-6007

2244 Collingwood Blvd
Toledo, OH 43620
Phone (567) 318-3891

222 McTigue Dr
Toledo, OH 43615
Phone (419) 442-7702

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1063100287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N WEST ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MCTIGUE DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436155164",
            "telephone_number": "419-442-7702",
            "fax_number": "419-225-8878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2244 Collingwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436201147",
            "country_code": "US",
            "telephone_number": "567-318-3891",
            "fax_number": "419-225-8878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE GUZMAN",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "OD, DIPL. ABO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-26",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.