Organization Active NPI

Ashland Eyecare Inc

  • Optometrist
  • Ashland, OH
National Provider Identifier
1073591541
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3562 Issued in OH
Legal business name
ASHLAND EYECARE INC
Practice address
2212 Mifflin Ave Suite 110
Ashland, OH 44805-2736
Phone
(419) 289-0808
NPI assigned
Jan 5, 2006
Last updated
Jan 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Dr. James R Patterson, OPTOMETRYNPI 1699753178
Title
Doctor
Phone
(419) 289-0808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3562 OH Primary

Addresses

Primary practice location

2212 Mifflin Ave Suite 110
Ashland, OH 44805-2736

Mailing address

2212 Mifflin Ave Suite 110
Ashland, OH 44805-2736
Phone (419) 289-0808

Other identifiers 1

IdentifierTypeStateIssuer
0468855MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040616000720 OH Part B Supplier - Clinic/Group Practice 8527042654 Receives reassigned benefits from 4 practitioners
Practice locations: Ashland, OH

National Provider Directory

National Provider Directory

Locations

1027 E Main St
Ashland, OH 44805
Phone (419) 289-0808

2212 Mifflin Ave
Ste 110
Ashland, OH 44805
Phone (419) 289-0808

645 Wooster St
Ste 2
Lodi, OH 44254
Phone (330) 948-2246

Practitioners & affiliated clinicians

Practitioners 7

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": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1073591541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 MIFFLIN AVE SUITE 110",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448052736",
            "telephone_number": "419-289-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 MIFFLIN AVE SUITE 110",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448052736",
            "telephone_number": "419-289-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLAND EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "419-289-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OPTOMETRY"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0468855",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.