Organization Active NPI

The Surgical Eye Care Center

  • Ophthalmology Physician
  • Akron, OH
National Provider Identifier
1154526408
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35047918 Issued in OH
Legal business name
THE SURGICAL EYE CARE CENTER
Practice address
95 Arch St Ste 120
Akron, OH 44304-1479
Phone
(330) 535-2521
Fax
(330) 535-6845
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Dr. Thomas A Repko, MDNPI 1750373403
Title
President
Phone
(330) 535-2521

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 35047918 OH Primary

Addresses

Primary practice location

95 Arch St Ste 120
Akron, OH 44304-1479

Mailing address

95 Arch St Ste 120
Akron, OH 44304-1479
Phone (330) 535-2521

Other identifiers 1

IdentifierTypeStateIssuer
0658551MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050419000026 OH Part B Supplier - Clinic/Group Practice 3971541202 Receives reassigned benefits from 1 practitioner
Practice locations: Akron, OH

National Provider Directory

National Provider Directory

Locations

95 Arch St
Ste 120
Akron, OH 44304
Phone (330) 535-2521

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": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1154526408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 ARCH ST STE 120",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041479",
            "telephone_number": "330-535-2521",
            "fax_number": "330-535-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 ARCH ST STE 120",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041479",
            "telephone_number": "330-535-2521",
            "fax_number": "330-535-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SURGICAL EYE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "REPKO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-535-2521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35047918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0658551",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.