Individual provider Active NPI

Eric Lee Balthaser, OD

  • Optometrist
  • Sandusky, OH
National Provider Identifier
1184770281
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5370T2281 Issued in OH
Practice address
4920 Milan Rd
Sandusky, OH 44870
Phone
(419) 624-0456
Fax
(419) 624-9215
NPI assigned
Jan 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5370T2281 OH Primary

Addresses

Primary practice location

4920 Milan Rd
Sandusky, OH 44870

Mailing address

140 Macomb
Mt Clemens, MI 48043
Phone (586) 468-7370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120919000384 OH Practitioner - Optometry 7618159591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parschauer Eye Center IncGroup PAC ID 8921033929, 11 clinicians

Practice addresses (Care Compare)

2600 Hayes Ave
Sandusky, OH 44870-5311
Phone (419) 625-6181

Merit-based Incentive Payment System (MIPS)

Final score
91.83 of 100Reported as group
Quality
100
Promoting interoperability
95
Improvement activities
40
Cost
76.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5370T2281OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Parschauer Eye Center Inc Optometrist CurrentSince Sep 1, 2023 Accepting new patients
Parschauer Eye Center, Inc CurrentSince Sep 1, 2023 Accepting new patients
Northern Ohio Eye Consultants Inc Current Accepting new patients

Locations

6880 W Snowville Rd
Ste 215
Brecksville, OH 44141
Phone (440) 526-1974

126 S Front St
Fremont, OH 43420
Phone (419) 334-9779

2600 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-6181

Interoperability endpoints

  • Direct secure messaging: ebalthaser@clevelandeyeclinic.intellechartdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184770281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MACOMB",
            "city": "MT CLEMENS",
            "state": "MI",
            "postal_code": "48043",
            "telephone_number": "586-468-7370",
            "fax_number": "586-464-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 MILAN RD",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "44870",
            "telephone_number": "419-624-0456",
            "fax_number": "419-624-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTHASER",
        "first_name": "ERIC",
        "middle_name": "LEE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5370T2281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.