Active NPI
J. Terebuh MD Inc
- Optometrist
- Bellefontaine, OH
National Provider Identifier
1194744102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- J. TEREBUH MD INC
- Practice address
- 1107 Rush Ave
Bellefontaine, OH 43311-9488 - Phone
- (937) 593-3881
- Fax
- (937) 593-3881
- NPI assigned
- Jul 19, 2006
- Last updated
- Apr 20, 2008
- 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
- Kristy Young
- Title
- MGR
- Phone
- (937) 593-3881
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Ophthalmology Physician | 207W00000X |
Addresses
Primary practice location
1107 Rush Ave
Bellefontaine, OH 43311-9488
Mailing address
PO Box 190
1107 Rush Ave
Bellefontaine, OH 43311-0190
Phone (937) 593-3881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| J. Terebuh MD Inc | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
1107 Rush Ave
Ste 100
Bellefontaine, OH 43311
1107 Rush Ave
Unit 190
Bellefontaine, OH 43311
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Bellefontaine, OH
- NPI 1134330079
-
- Ophthalmology Physician
- Columbus, OH
- NPI 1780765107
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Gahanna, OH
- NPI 1245524768
Ophthalmology
-
- Ophthalmology Physician
- Bellefontaine, OH
- NPI 1497774483
-
- Optometrist
- Springfield, OH
- NPI 1710040704
-
- Optometrist
- Columbus, OH
- NPI 1962551002
-
- Optometrist
- Greenville, OH
- NPI 1053644575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1194744102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190",
"address_2": "1107 RUSH AVE",
"city": "BELLEFONTAINE",
"state": "OH",
"postal_code": "433110190",
"telephone_number": "937-593-3881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 RUSH AVE",
"city": "BELLEFONTAINE",
"state": "OH",
"postal_code": "433119488",
"telephone_number": "937-593-3881",
"fax_number": "937-593-3881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J. TEREBUH MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "KRISTY",
"authorized_official_title_or_position": "MGR",
"authorized_official_telephone_number": "937-593-3881"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellefontaine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.