Organization Active NPI

Feltz and McCloy, LLC

  • Optometrist
  • Marion, OH
National Provider Identifier
1184664120
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5572T2486 Issued in OH
Legal business name
FELTZ AND MCCLOY, LLC
Doing business as
Professional Eye Care
Practice address
1723 Marion-Mt. Gilead Rd.
Marion, OH 43302-7842
Phone
(740) 387-6880
Fax
(740) 387-7443
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Authorized official

Name
Denise Thiel
Title
Office Manager
Phone
(740) 387-6633

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 4642T1417 OH
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 5472T2384 OH
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 4665T1440 OH
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 5572T2486 OH Primary
Vision Therapy OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WV0400X 4665T1440 OH
Vision Therapy OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WV0400X 5472T2384 OH
Vision Therapy OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WV0400X 4642T1417 OH
Eyewear Supplier 332H00000X

Addresses

Primary practice location

1723 Marion-Mt. Gilead Rd.
Marion, OH 43302-7842

Mailing address

1723 Marion-Mt. Gilead Rd.
Marion, OH 43302-7842
Phone (740) 387-6880

Other identifiers 3

IdentifierTypeStateIssuer
7784332OtherOHAETNA
2687230MedicaidOH
DB2387OtherOHRAILROAD MEDICARE

Other names 1

  • Professional Eye Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1184664120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 MARION-MT. GILEAD RD.",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433027842",
            "telephone_number": "740-387-6880",
            "fax_number": "740-387-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 MARION-MT. GILEAD RD.",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433027842",
            "telephone_number": "740-387-6880",
            "fax_number": "740-387-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELTZ AND MCCLOY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "THIEL",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "740-387-6633"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4642T1417",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5472T2384",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4665T1440",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5572T2486",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "OH",
            "license": "4665T1440",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "OH",
            "license": "5472T2384",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "OH",
            "license": "4642T1417",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7784332",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2687230",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB2387",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.