Fred W Skulina, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4314 Issued in OH

Practice address

799 N Vine St
Fostoria, OH 44830

Phone

(419) 435-3323

Fax

(419) 435-7834

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

For Your Eyes Only, IncGroup PAC ID 3971493917, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Findlay Optometry Clinic Inc

  • Optometrist
  • Findlay, OH
  • NPI 1679694152
  Medicare reassignment NPD Authorized official
• For Your Eyes Only, Inc

  • Optometrist
  • Willoughby, OH
  • NPI 1750565008
  Medicare reassignment Care Compare group NPD
• For Your Eyes Only, Inc.

  • Optometrist
  • Willoughby, OH
  • NPI 1003488180
  NPD

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1083701593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 N VINE ST",
            "city": "FOSTORIA",
            "state": "OH",
            "postal_code": "44830",
            "telephone_number": "419-435-3323",
            "fax_number": "419-435-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 N VINE ST",
            "city": "FOSTORIA",
            "state": "OH",
            "postal_code": "44830",
            "telephone_number": "419-435-3323",
            "fax_number": "419-435-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKULINA",
        "first_name": "FRED",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4314",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "T655",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0921926",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serenity Christian Counseling LLC
• Serenity Christian Counseling LLC
• Mark Shoemaker
• Barbara Lynn Siegle-Letterly, PC
• Hope Renee Singleton
• Kellie Jo Smarr, LPN
• Danielle Smith
• Joel Sobecki
• Solomon E Erulkar MD Inc
• Amy J. Somodi, OT

• Optometrist in Fostoria, OH
• Providers in Fostoria, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.