Individual provider Active NPI

Christina Marie Fox, O.D.

  • Optometrist
  • Bucyrus, OH
National Provider Identifier
1235153289
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5307 Issued in OH
Practice address
236 S Sandusky Ave
Bucyrus, OH 44820-2221
Phone
(419) 562-0057
Fax
(419) 562-0073
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

236 S Sandusky Ave
Bucyrus, OH 44820-2221
Phone (419) 562-0057

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery70

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040211001149 OH Practitioner - Optometry 1850285693 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5307OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Envision Eyecare LLC Optometrist CurrentSince Dec 1, 2007 Accepting new patients
Eyecare Optiques, Inc Optometrist Past Accepting new patients
Crawford Eye Clinic Inc PastSince Oct 1, 2003 Accepting new patients

Locations

236 S Sandusky Ave
Bucyrus, OH 44820
Phone (419) 562-0057

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5307 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

236 S Sandusky Ave
Bucyrus, OH 44820-2221

Mailing address

236 S Sandusky Ave
Bucyrus, OH 44820-2221
Phone (419) 562-0057

Other identifiers 11

NPPES NPI Registry
IdentifierTypeStateIssuer
P00056876OtherOHMEDICARE(RAILROAD)
EO14678OtherOHSPECTERA
2331953OtherOHUNITED HEALTH CARE
85394OtherOHCOLE VISION
OH5307OtherOHEYEMED
6421770001OtherOHDME
2400860OtherOHBUREAU CHILDREN W/HANDICA
2400860MedicaidOH
000000250503OtherOHANTHEM
0005482194OtherOHAETNA (GROUP)
0007867819OtherOHAETNA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 3, 2010.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1235153289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 S SANDUSKY AVE",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448202221",
            "telephone_number": "419-562-0057",
            "fax_number": "419-562-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 S SANDUSKY AVE",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448202221",
            "telephone_number": "419-562-0057",
            "fax_number": "419-562-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE(RAILROAD)",
            "identifier": "P00056876",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "EO14678",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2331953",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLE VISION",
            "identifier": "85394",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "OH5307",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "6421770001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU CHILDREN W/HANDICA",
            "identifier": "2400860",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2400860",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000250503",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA (GROUP)",
            "identifier": "0005482194",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007867819",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bucyrus, OH

Sources for this page

Verify at the official NPI Registry.