Organization Active NPI

Customeyes Family Optometry Inc

  • Optometrist
  • Lancaster, OH
National Provider Identifier
1225238710
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5374 Issued in OH
Legal business name
CUSTOMEYES FAMILY OPTOMETRY INC
Practice address
1611 Tiki LN
Lancaster, OH 43130-8729
Phone
(740) 687-1555
Fax
(740) 785-4013
NPI assigned
Jul 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Devin Fey
Title
Billing Administrator
Phone
(740) 687-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5374 OH Primary

Addresses

Primary practice location

1611 Tiki LN
Lancaster, OH 43130-8729

Mailing address

1611 Tiki LN
Lancaster, OH 43130-8729
Phone (740) 687-1555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070914000241 OH Part B Supplier - Clinic/Group Practice 1759475270 Receives reassigned benefits from 2 practitioners
Practice locations: Lancaster, OH

National Provider Directory

National Provider Directory

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": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1225238710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 TIKI LN",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308729",
            "telephone_number": "740-687-1555",
            "fax_number": "740-785-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 TIKI LN",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308729",
            "telephone_number": "740-687-1555",
            "fax_number": "740-785-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOMEYES FAMILY OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "FEY",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "740-687-1555"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.