The Eye Clinic, Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

THE EYE CLINIC, INC.

Practice address

3545 Lincoln Way E
Suite a
Massillon, OH 44646-8624

Phone

(330) 837-5191

Fax

(330) 837-0755

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Michael G Wood, DONPI 1447215728

Title

President

Phone

(330) 837-5191

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Perry Eye Clinic Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• The Eye Clinic Inc

  • Ophthalmology Physician
  • North Canton, OH
  • NPI 1689937229

  O20051129001114

  Same enrollment

Locations

Interoperability endpoints

• Direct secure messaging: mwood@theeyeclinic.intellechartdirect.net
• Direct secure messaging: jpapas@theeyeclinic.intellechartdirect.net
• Direct secure messaging: shansen@theeyeclinic.intellechartdirect.net
• Direct secure messaging: ipatterson@theeyeclinic.intellechartdirect.net
• Direct secure messaging: lronning@theeyeclinic.intellechartdirect.net

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Glenn Wood, D.O.

  • Ophthalmology Physician
  • Massillon, OH
  • NPI 1447215728
  NPD Authorized official
• Steven E Hansen, O.D.

  • Corneal and Contact Management Optometrist
  • Massillon, OH
  • NPI 1285628412
  NPD
• Ian Patterson, MD

  • Ophthalmology Physician
  • Massillon, OH
  • NPI 1952920654
  NPD
• Lawrence Ronning, MD

  • Ophthalmology Physician
  • North Canton, OH
  • NPI 1609844612
  NPD
• Jason Nicholas Papas, MD

  • Ophthalmology Physician
  • Saint Louis, MO
  • NPI 1639533722
  NPD

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1124136189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 LINCOLN WAY E",
            "address_2": "SUITE A",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468624",
            "telephone_number": "330-837-5191",
            "fax_number": "330-837-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 LINCOLN WAY E",
            "address_2": "SUITE A",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468624",
            "telephone_number": "330-837-5191",
            "fax_number": "330-837-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-837-5191",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0935895",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CM0456",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perry Eye Clinic Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Perry Eye Clinic Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jennifer M. Tarr, M.D.
• Tiffany Tarver, RN
• Nichole Tatum
• Kristin Temsic, MSN, APRN, FNP-C
• TH-Wellness LLC
• The Eye Clinic, Inc.
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• The Straight Path Program
• The Tamarkin Company

• Ophthalmology Physician in Massillon, OH
• Providers in Massillon, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.