NPIMap

Organization Active NPI

Eyecare Services Inc

Doing business as Northwest Ohio Vision Center

  • Optometrist
  • Bryan, OH
National Provider Identifier
1063534329
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4963 Issued in OH
Legal business name
EYECARE SERVICES INC
Doing business as
Northwest Ohio Vision Center
Practice address
1313 W High St
Bryan, OH 43506-1545
Phone
(419) 636-1531
NPI assigned
Apr 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Authorized official

Name
Dr. Tara L. Richmond, O.D.NPI 1346249083
Title
Partner
Phone
(419) 636-1531

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4963 OH Primary

Addresses

Primary practice location

1313 W High St
Bryan, OH 43506-1545

Mailing address

1313 W High St
Bryan, OH 43506-1545
Phone (419) 636-1531

Other identifiers 6

IdentifierTypeStateIssuer
0355431MedicaidOH
2740583MedicaidOH
0118287MedicaidOH
2374452MedicaidOH
0886251MedicaidOH
2751660MedicaidOH

Other names 1

  • Northwest Ohio Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

1313 W High St
Bryan, OH 43506
Phone (419) 636-1531

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1063534329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 W HIGH ST",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435061545",
            "telephone_number": "419-636-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 W HIGH ST",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435061545",
            "telephone_number": "419-636-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-05",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "RICHMOND",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "419-636-1531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0355431",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2740583",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0118287",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2374452",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0886251",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2751660",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Ohio Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryan, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.