Organization Active NPI

Primary Eyecare Associates Inc

  • Optometrist
  • Troy, OH
National Provider Identifier
1215149018
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PRIMARY EYECARE ASSOCIATES INC
Practice address
93 Robinhood Lane
Troy, OH 45373
Phone
(937) 339-2115
Fax
(937) 492-1901
NPI assigned
May 4, 2007
Last updated
Jun 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Authorized official

Name
Dr. Jeffrey R Ahrns, O.D.NPI 1659334704
Title
President
Phone
(937) 492-9197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OH Primary

Addresses

Primary practice location

93 Robinhood Lane
Troy, OH 45373

Mailing address

1086 Fairington Drive
Sidney, OH 45365
Phone (937) 492-9197

Other identifiers 1

IdentifierTypeStateIssuer
2454017MedicaidOH

Other names 1

  • Kiracofe, Beigel, Barr & Ahrns Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040615001840 OH Part B Supplier - Clinic/Group Practice 2062496284 Receives reassigned benefits from 10 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Loramie, OH; Sidney, OH; Troy, OH

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Kiracofe Beigel Barr Ah2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1086 Fairington Dr
Sidney, OH 45365
Phone (937) 492-9197

10 Dotcom Dr
Troy, OH 45373
Phone (937) 339-2115

93 Robin Hood Ln
Troy, OH 45373
Phone (937) 339-2115

Practitioners & affiliated clinicians

Practitioners 6

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": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1215149018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 FAIRINGTON DRIVE",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "45365",
            "telephone_number": "937-492-9197",
            "fax_number": "937-492-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 ROBINHOOD LANE",
            "city": "TROY",
            "state": "OH",
            "postal_code": "45373",
            "telephone_number": "937-339-2115",
            "fax_number": "937-492-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY EYECARE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "AHRNS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-492-9197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2454017",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kiracofe, Beigel, Barr & Ahrns",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Troy, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.