NPIMap

Organization Active NPI

Dayton Eye Associates, Inc.

  • Optometrist
  • Dayton, OH
National Provider Identifier
1063722007
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DAYTON EYE ASSOCIATES, INC.
Practice address
89 Sylvania Dr
Dayton, OH 45440-3281
Phone
(937) 320-2020
Fax
(937) 320-0504
NPI assigned
Oct 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Authorized official

Name
Syed F Hasan, MC
Title
President
Phone
(937) 320-2020

Specialties & licenses 1

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

Addresses

Primary practice location

89 Sylvania Dr
Dayton, OH 45440-3281

Mailing address

580 North Main Street
Springboro, OH 45066-9552
Phone (937) 320-2020

Other identifiers 1

IdentifierTypeStateIssuer
0391151MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1063722007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 NORTH MAIN STREET",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450669552",
            "telephone_number": "937-320-2020",
            "fax_number": "937-320-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 SYLVANIA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454403281",
            "telephone_number": "937-320-2020",
            "fax_number": "937-320-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON EYE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-320-2020",
        "authorized_official_credential": "MC"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0391151",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.