Organization Active NPI

Summit Family Eye Care LLC

  • Optometrist
  • Toledo, OH
National Provider Identifier
1205156031
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5414 Issued in OH
Legal business name
SUMMIT FAMILY EYE CARE LLC
Practice address
5198 N Summit St
Toledo, OH 43611-2748
Phone
(419) 726-1541
Fax
(419) 726-7222
NPI assigned
Jun 3, 2010
Last updated
Feb 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Gail Sanderson, ODNPI 1386641264
Title
Partner
Phone
(419) 726-1541

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5414 OH Primary

Addresses

Primary practice location

5198 N Summit St
Toledo, OH 43611-2748

Mailing address

5198 N Summit St
Toledo, OH 43611-2748
Phone (419) 726-1541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100824000053 OH Part B Supplier - Clinic/Group Practice 3375667686 Receives reassigned benefits from 2 practitioners
Practice locations: Toledo, OH
O20110114000600 OH DME Supplier - Physician - Optometrist 3375667686 Practice locations: Toledo, OH

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Summit Family Eye Care LLC5198 N Summit St, Toledo, OH 43611-2748(419) 726-1541 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Aug 30, 2010

National Provider Directory

National Provider Directory

Locations

5198 N Summit St
Toledo, OH 43611
Phone (415) 726-1541

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1205156031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5198 N SUMMIT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436112748",
            "telephone_number": "419-726-1541",
            "fax_number": "419-726-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5198 N SUMMIT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436112748",
            "telephone_number": "419-726-1541",
            "fax_number": "419-726-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT FAMILY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "419-726-1541",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.

Verify at the official NPI Registry.