Organization Active NPI

Belmont Eye Clinic Inc

  • Medical Specialty Clinic/Center
  • Youngstown, OH
National Provider Identifier
1184703969
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
BELMONT EYE CLINIC INC
Practice address
3020 Belmont Ave
Youngstown, OH 44505-1846
Phone
(330) 759-7672
Fax
(330) 759-4768
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Vickie J Lisotto, R.N.
Title
Administrative Director
Phone
(330) 759-7672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

3020 Belmont Ave
Youngstown, OH 44505-1846

Mailing address

3020 Belmont Ave
Youngstown, OH 44505-1846
Phone (330) 759-7672

Other identifiers 1

IdentifierTypeStateIssuer
0832228MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1184703969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051846",
            "telephone_number": "330-759-7672",
            "fax_number": "330-759-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051846",
            "telephone_number": "330-759-7672",
            "fax_number": "330-759-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT EYE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "LISOTTO",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "330-759-7672",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0832228",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.