Organization Active NPI

Ohio Penal Industries

  • Optometrist
  • Marysville, OH
National Provider Identifier
1194512749
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Apr 24, 2025

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.