Organization Active NPI

Crawford County Family Eye Care Inc

  • Optometrist
  • Galion, OH
National Provider Identifier
1174798607
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CRAWFORD COUNTY FAMILY EYE CARE INC
Practice address
337 Harding Way W
Galion, OH 44833-1725
Phone
(419) 468-3355
Fax
(419) 468-7475
NPI assigned
Apr 25, 2008
Last updated
Nov 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Authorized official

Name
Dr. Randall Hieber, O.D.NPI 1114922218
Title
President
Phone
(419) 468-3355

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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

337 Harding Way W
Galion, OH 44833-1725

Mailing address

337 Harding Way W
Galion, OH 44833-1725
Phone (419) 468-3355

Other identifiers 1

IdentifierTypeStateIssuer
0411263MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111208000032 OH Part B Supplier - Clinic/Group Practice 1254458268 Receives reassigned benefits from 3 practitioners
Practice locations: Galion, OH

National Provider Directory

National Provider Directory

Locations

337 Harding Way W
Galion, OH 44833
Phone (419) 468-3355

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1174798607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 HARDING WAY W",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448331725",
            "telephone_number": "419-468-3355",
            "fax_number": "419-468-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 HARDING WAY W",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448331725",
            "telephone_number": "419-468-3355",
            "fax_number": "419-468-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORD COUNTY FAMILY EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "HIEBER",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-468-3355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0411263",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.