Organization Active NPI

Putnam Parkway Eyecare, LLC

  • Optometrist
  • Ottawa, OH
National Provider Identifier
1134091986
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PUTNAM PARKWAY EYECARE, LLC
Practice address
102 Putnam Pkwy Ste B
Ottawa, OH 45875-8678
Phone
(419) 523-3937
Fax
(419) 523-3944
NPI assigned
Sep 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Dr. Teresa Marie Rohrs, O.D.NPI 1437291945
Title
Owner
Phone
(419) 523-3937

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

102 Putnam Pkwy Ste B
Ottawa, OH 45875-8678

Mailing address

102 Putnam Pkwy Ste B
Ottawa, OH 45875-8678
Phone (419) 523-3937

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251030004876 OH Part B Supplier - Clinic/Group Practice 6608365465 Receives reassigned benefits from 2 practitioners
Practice locations: Ottawa, OH

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2123215Putnam Parkway Eyecare102 Putnam Parkway, Ottawa, OH 45875Certificate of waiverDec 14, 2026

National Provider Directory

National Provider Directory

Locations

102 Putnam Pkwy
Ste B
Ottawa, OH 45875
Phone (419) 228-6646

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1134091986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PUTNAM PKWY STE B",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458758678",
            "telephone_number": "419-523-3937",
            "fax_number": "419-523-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PUTNAM PKWY STE B",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458758678",
            "telephone_number": "419-523-3937",
            "fax_number": "419-523-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM PARKWAY EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "ROHRS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-523-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.