Rath Optometry LLC – Clinic/Center in Minerva, OH

Key facts

NPI: 1124651385
Entity type: Organization (NPI type 2)
Primary specialty: Clinic/Center 261Q00000X
Legal business name: RATH OPTOMETRY LLC
Practice address: 1174 Alliance Rd NW
Minerva, OH 44657-8736
Phone: (330) 868-0076
NPI assigned: Feb 17, 2020
Organization subpart: No

Authorized official

Name: Ted Rath NPI 1871647230
Title: Optometrist
Phone: (330) 494-5020

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

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

Ted A Rath, OD Optometrist · Minerva, OH · NPI 1871647230

NPD (past) Authorized official OPTOMETRIST
Megan Slavik, OD Optometrist · Canton, OH · NPI 1508497041

NPD (past) OPTOMETRIST

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Supplier	Supplies	Medicare assignment
Ted a Rath 1174 Alliance Rd NW, Minerva, OH 44657-8736 · (330) 868-0076	Prosthetic Lenses: Conventional Eyeglasses\|Prosthetic Lenses: Conventional Contact Lenses\|Prosthetic Lenses: Prosthetics Cataract Lenses	Does not accept assignment Participating since Sep 13, 2019

Medicare participation

Medicare fee-for-service enrollment: Enrolled in OH

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20190621002696	OH	DME Supplier - Physician - Optometrist	0244571560	Practice locations: Minerva, OH

National Provider Directory

Locations

1174 Alliance Rd NW
Minerva, OH 44657
Phone (330) 868-0076

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinic/Center	261Q00000X			Yes

Addresses

Primary practice location

1174 Alliance Rd NW
Minerva, OH 44657-8736

Mailing address

1174 Alliance Rd NW
Minerva, OH 44657-8736
Phone (330) 868-0076

Other providers in Minerva, OH

Premier Health Associates Inc
Angela M Prendergast, STNA
Debora Jean Prendergast, PTA
Michael Pribula, DO
Quest Recovery and Prevention Services, Inc.
Ted A Rath, OD
Reaach, LLC
Return to Wellness LLC
Megan Reynolds, PTA
Richard A. Ridzon, RPH

All providers in Minerva, OH · Clinic/Center in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.