Eye Centers of Northwest Ohio LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE CENTERS OF NORTHWEST OHIO LLC

Practice address

2311 Hayes Ave
Suite B
Fremont, OH 43420-2634

Phone

(419) 334-8121

Fax

(419) 332-9351

NPI assigned

Aug 5, 2008

Organization subpart

No

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

Authorized official

Name

Greg J Derodes, O.D.

Title

President

Phone

(419) 334-8121

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

Locations

Practitioners 6

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

• Jason R Kolodziejczyk, O.D.

  • Optometrist
  • Fremont, OH
  • NPI 1124052626
  Medicare reassignment Care Compare group NPD
• Stacy Pasch Rellinger, OD

  • Optometrist
  • Fremont, OH
  • NPI 1134299209
  Medicare reassignment Care Compare group NPD
• Alexzandra Rudinoff Roth, OD

  • Optometrist
  • Fremont, OH
  • NPI 1053978361
  Medicare reassignment Care Compare group NPD
• Susan Elizabeth Smith, MD

  • Ophthalmology Physician
  • Fremont, OH
  • NPI 1922242213
  Medicare reassignment Care Compare group NPD
• Gregory J Derodes, O.D.

  • Optometrist
  • Fremont, OH
  • NPI 1790876605
  Medicare reassignment Care Compare group
• Michael D. Hipsher, O.D.

  • Optometrist
  • Fostoria, OH
  • NPI 1730274945
  NPD (past)

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1124284518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 HAYES AVE",
            "address_2": "SUITE B",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202634",
            "telephone_number": "419-334-8121",
            "fax_number": "419-332-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 HAYES AVE",
            "address_2": "SUITE B",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202634",
            "telephone_number": "419-334-8121",
            "fax_number": "419-332-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CENTERS OF NORTHWEST OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "DERODES",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-334-8121",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Yvonne Estep, L.M.T.
• Robyn Everhart
• Everside Health Center-Fremont
• Exigence of Fremont, LLC
• Eye Centers of Northwest Ohio Inc
• F O R M E Medical & Rehab Center of Fremont, Inc
• Family Medicine Associates of Sandusky Co LLC
• Peter Michael Fantino, L.M.T.
• Alexandra Farmer, CDCA
• Scott James Farrell, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.