Active NPI
Christopher J Meyer
- Optometrist
- Mantua, OH
National Provider Identifier
1235327461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4034T171
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120430000683 | OH | Part B Supplier - Clinic/Group Practice | 1951420843 |
Receives reassigned benefits from 1 practitioner Practice locations: Mantua, OH |
National Provider Directory
National Provider DirectoryPractitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Mantua, OH
- NPI 1023091774
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.