Active NPI
Belmont Eye Clinic Inc
- Medical Specialty Clinic/Center
- Youngstown, OH
National Provider Identifier
1184703969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0832228 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI 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.