Active NPI
Russell a Maringer OD Inc.
- Optometrist
- Tiffin, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5494
- Legal business name
- RUSSELL A MARINGER OD INC.
- Practice address
- 455 E Market St
Suite F
Tiffin, OH 44883-1707 - Phone
- (419) 447-5616
- Fax
- (866) 462-0224
- NPI assigned
- Jul 26, 2007
- Last updated
- Feb 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Russell A Maringer, OD, MS
- Title
- Optometrist
- Phone
- (419) 447-5616
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5494 | OH | Primary |
Addresses
Primary practice location
455 E Market St
Suite F
Tiffin, OH 44883-1707
Mailing address
455 E Market St
Ste F
Tiffin, OH 44883-1769
Phone (419) 447-5616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2499998 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
142 W Water St
Ste L
Oak Harbor, OH 43449
Phone (419) 898-1918
34 W Market St
Tiffin, OH 44883
Phone (419) 447-5616
455 E Market St
Ste F
Tiffin, OH 44883
Phone (419) 443-0525
Practitioners & affiliated clinicians
Practitioners 2
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.
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- Marysville, OH
- NPI 1962659995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203033600000",
"number": "1083804074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 E MARKET ST",
"address_2": "STE F",
"city": "TIFFIN",
"state": "OH",
"postal_code": "448831769",
"telephone_number": "419-447-5616",
"fax_number": "866-462-0224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 E MARKET ST",
"address_2": "SUITE F",
"city": "TIFFIN",
"state": "OH",
"postal_code": "448831707",
"telephone_number": "419-447-5616",
"fax_number": "866-462-0224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUSSELL A MARINGER OD INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-26",
"last_updated": "2008-02-15",
"status": "A",
"authorized_official_last_name": "MARINGER",
"authorized_official_first_name": "RUSSELL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "419-447-5616",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD, MS"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "OH",
"license": "5494",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2499998",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tiffin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.