Active NPI
Ohio Penal Industries
- Optometrist
- Marysville, OH
National Provider Identifier
1194512749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- OHIO PENAL INDUSTRIES
- Practice address
- 1479 Collins Ave
Marysville, OH 43040-8808 - Phone
- (937) 707-2289
- NPI assigned
- Apr 24, 2025
- 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
- Miss Chelsey Rebecca Stillings
- Title
- Regional Industry Manager
- Phone
- (614) 738-7859
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1479 Collins Ave
Marysville, OH 43040-8808
Mailing address
PO Box 525
London, OH 43140-0525
Phone (614) 738-7859
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745452800000",
"number": "1194512749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 525",
"city": "LONDON",
"state": "OH",
"postal_code": "431400525",
"telephone_number": "614-738-7859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1479 COLLINS AVE",
"city": "MARYSVILLE",
"state": "OH",
"postal_code": "430408808",
"telephone_number": "937-707-2289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OHIO PENAL INDUSTRIES",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-24",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A",
"authorized_official_last_name": "STILLINGS",
"authorized_official_first_name": "CHELSEY",
"authorized_official_middle_name": "REBECCA",
"authorized_official_title_or_position": "REGIONAL INDUSTRY MANAGER",
"authorized_official_telephone_number": "614-738-7859",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marysville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.