Active NPI
Feltz and McCloy, LLC
- Optometrist
- Marion, OH
National Provider Identifier
1184664120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5572T2486
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4642T1417 | OH | |
| Optometrist | 152W00000X | 5472T2384 | OH | |
| Optometrist | 152W00000X | 4665T1440 | OH | |
| Optometrist | 152W00000X | |||
| Optometrist | 152W00000X | 5572T2486 | OH | Primary |
| Vision Therapy Optometrist | 152WV0400X | 4665T1440 | OH | |
| Vision Therapy Optometrist | 152WV0400X | 5472T2384 | OH | |
| Vision Therapy Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7784332 | Other | OH | AETNA |
| 2687230 | Medicaid | OH | |
| DB2387 | Other | OH | RAILROAD MEDICARE |
Other names 1
- Professional Eye Care
National Provider Directory
National Provider DirectoryNPI 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.