Organization Active NPI

Christopher J Meyer

  • Optometrist
  • Mantua, OH
National Provider Identifier
1235327461
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4034T171 Issued in OH
Legal business name
CHRISTOPHER J MEYER
Practice address
10730 Main St.,
Mantua, OH 44255-0520
Phone
(330) 274-0502
Fax
(330) 274-8184
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Authorized official

Name
Dr. Christopher J Meyer, O.D.NPI 1265403539
Title
Owner
Phone
(330) 274-0502

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4034T171 OH Primary

Addresses

Primary practice location

10730 Main St.,
Mantua, OH 44255-0520

Mailing address

PO Box 520
Mantua, OH 44255-0520
Phone (330) 274-0502

Other names 1

  • The Mantua Eye Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120430000683 OH Part B Supplier - Clinic/Group Practice 1951420843 Receives reassigned benefits from 1 practitioner
Practice locations: Mantua, OH

National Provider Directory

National Provider Directory

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": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1235327461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "MANTUA",
            "state": "OH",
            "postal_code": "442550520",
            "telephone_number": "330-274-0502",
            "fax_number": "330-274-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 MAIN ST.,",
            "city": "MANTUA",
            "state": "OH",
            "postal_code": "442550520",
            "telephone_number": "330-274-0502",
            "fax_number": "330-274-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER J MEYER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-274-0502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4034T171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Mantua Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mantua, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.