NPIMap

Organization Active NPI

Summit Ophthalmology Inc

  • Ophthalmology Physician
  • Akron, OH
National Provider Identifier
1205855236
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SUMMIT OPHTHALMOLOGY INC
Practice address
1 Park West Blvd
Suite 150
Akron, OH 44320
Phone
(330) 864-8060
Fax
(330) 864-8191
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Authorized official

Name
Dr. Richard R Ellison, MD
Title
President
Phone
(330) 864-8060

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

1 Park West Blvd
Suite 150
Akron, OH 44320

Mailing address

1 Park West Blvd
Suite 150
Akron, OH 44320
Phone (330) 864-8060

Other identifiers 1

IdentifierTypeStateIssuer
0476908MedicaidOH

National Provider Directory

National Provider Directory

Locations

3838 Massillon Rd
Ste 370
Green, OH 44685
Phone (330) 376-9324

Practitioners & affiliated clinicians

Practitioners 3

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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1205855236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARK WEST BLVD",
            "address_2": "SUITE 150",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44320",
            "telephone_number": "330-864-8060",
            "fax_number": "330-864-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARK WEST BLVD",
            "address_2": "SUITE 150",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44320",
            "telephone_number": "330-864-8060",
            "fax_number": "330-864-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT OPHTHALMOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-864-8060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0476908",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.