Organization Active NPI

Barnesville Vision Center, LLC

  • Optometrist
  • Barnesville, OH
National Provider Identifier
1114100534
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4471 Issued in OH
Legal business name
BARNESVILLE VISION CENTER, LLC
Practice address
177 E Main St
Barnesville, OH 43713-1080
Phone
(740) 425-7000
NPI assigned
Dec 7, 2007
Last updated
Apr 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Authorized official

Name
Melissa S LeachNPI 1033183645
Title
Owner
Phone
(740) 425-7000

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 4471 OH Primary

Addresses

Primary practice location

177 E Main St
Barnesville, OH 43713-1080

Mailing address

177 E Main St
Barnesville, OH 43713-1080
Phone (740) 425-7000

Other identifiers 1

IdentifierTypeStateIssuer
2814495MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080605000012 OH Part B Supplier - Clinic/Group Practice 6305916149 Receives reassigned benefits from 2 practitioners
Practice locations: Barnesville, OH

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1114100534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 E MAIN ST",
            "city": "BARNESVILLE",
            "state": "OH",
            "postal_code": "437131080",
            "telephone_number": "740-425-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 E MAIN ST",
            "city": "BARNESVILLE",
            "state": "OH",
            "postal_code": "437131080",
            "telephone_number": "740-425-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNESVILLE VISION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-425-7000"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2814495",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.