Active NPI
Andrew Roy, O.D.
- Optometrist
- Sidney, OH
National Provider Identifier
1093979916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5819
- Practice address
- 1086 Fairington Dr
Sidney, OH 45365-8913 - Phone
- (937) 492-9197
- NPI assigned
- Jul 10, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5819 | OH | Primary |
Addresses
Primary practice location
1086 Fairington Dr
Sidney, OH 45365-8913
Mailing address
1086 Fairington Dr
Sidney, OH 45365-8913
Phone (937) 492-9197
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081217000224 | OH | Practitioner - Optometry | 4789746264 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Waterloo - School of Optometry, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Primary Eyecare Associates Inc
Practice addresses (Care Compare)
1086 Fairington Dr
Sidney, OH 45365-8913
Phone (937) 492-9197
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5819 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Eyecare Associates Inc | Optometrist | Current | Accepting new patients |
| Primary Eyecare Associates Inc | Optometrist | Current | Accepting new patients |
| Total Vision Centers, Inc | Past | Accepting new patients |
Locations
1086 Fairington Dr
Sidney, OH 45365
Phone (937) 492-9197
10 Dotcom Dr
Troy, OH 45373
Phone (937) 339-2115
Interoperability endpoints
- https://totalvisioncenters.ef.prod.fhir.ema-api.com/fhir/r4/
Organizations & group practices 3
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.
-
- Optometrist
- Ft. Loramie, OH
- NPI 1528270311
-
- Corneal and Contact Management Optometrist
- New Carlisle, OH
- NPI 1083835102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1093979916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1086 FAIRINGTON DR",
"city": "SIDNEY",
"state": "OH",
"postal_code": "453658913",
"telephone_number": "937-492-9197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1086 FAIRINGTON DR",
"city": "SIDNEY",
"state": "OH",
"postal_code": "453658913",
"telephone_number": "937-492-9197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-10",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "5819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sidney, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.