Organization Active NPI

Sunbury Family Eyecare, LLC

  • Health Service Clinic/Center
  • Sunbury, OH
National Provider Identifier
1205157393
Registry record updated Jun 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
4876/T1590 Issued in OH
Legal business name
SUNBURY FAMILY EYECARE, LLC
Practice address
257 W Granville St
Suite 100
Sunbury, OH 43074-9684
Phone
(740) 965-1165
Fax
(740) 965-1176
NPI assigned
Jun 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2010

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

Authorized official

Name
Dr. Deborah L Wright, O.D.NPI 1033291299
Title
Member
Phone
(740) 965-1165

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
Health Service Clinic/Center 261QH0100X 4876/T1590 OH Primary

Addresses

Primary practice location

257 W Granville St
Suite 100
Sunbury, OH 43074-9684

Mailing address

257 W Granville St
Suite 100 /P.O.Box 300
Sunbury, OH 43074-9684
Phone (740) 965-1165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101109000890 OH Part B Supplier - Clinic/Group Practice 9931394558 Receives reassigned benefits from 2 practitioners
Practice locations: Sunbury, OH

National Provider Directory

National Provider Directory

Locations

257 W Granville St
Ste 100
Sunbury, OH 43074
Phone (740) 965-1165

116 N Miller Dr
Ste B
Sunbury, OH 43074
Phone (740) 965-1165

257 W Granville St
#100
Sunbury, OH 43074
Phone (740) 965-1165

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276300800000",
    "number": "1205157393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 W GRANVILLE ST",
            "address_2": "SUITE 100 /P.O.BOX 300",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430749684",
            "telephone_number": "740-965-1165",
            "fax_number": "740-965-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 W GRANVILLE ST",
            "address_2": "SUITE 100",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430749684",
            "telephone_number": "740-965-1165",
            "fax_number": "740-965-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBURY FAMILY EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-12",
        "last_updated": "2010-06-12",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "740-965-1165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OH",
            "license": "4876/T1590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunbury, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.