Organization Active NPI

System Optics LLC

  • Ophthalmology Physician
  • Tallmadge, OH
National Provider Identifier
1245275544
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4290 Issued in OH
Legal business name
SYSTEM OPTICS LLC
Practice address
518 West Ave
Tallmadge, OH 44278-2117
Phone
(330) 630-9699
Fax
(330) 633-7165
NPI assigned
Jun 19, 2006
Last updated
Jun 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Authorized official

Name
Dr. Todd L Beyer, D.O.NPI 1407859275
Title
President
Phone
(330) 630-9699

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
Ophthalmology Physician 207W00000X 4290 OH Primary

Addresses

Primary practice location

518 West Ave
Tallmadge, OH 44278-2117

Mailing address

518 West Ave
Tallmadge, OH 44278-2117
Phone (330) 630-9699

Other identifiers 1

IdentifierTypeStateIssuer
0947864MedicaidOH

Other names 1

  • NOVUS CLINIC Other name

National Provider Directory

National Provider Directory

Locations

224 W Exchange St
Ste 250
Akron, OH 44302
Phone (330) 344-2020

3632 W Market St
Ste 101
Fairlawn, OH 44333
Phone (330) 630-9699

6390 Pearl Rd
Parma Heights, OH 44130
Phone (216) 291-3550

Practitioners & affiliated clinicians

Practitioners 3

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": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1245275544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 WEST AVE",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782117",
            "telephone_number": "330-630-9699",
            "fax_number": "330-633-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 WEST AVE",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782117",
            "telephone_number": "330-630-9699",
            "fax_number": "330-633-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYSTEM OPTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "BEYER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-630-9699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "4290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0947864",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOVUS CLINIC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "NOVUS CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tallmadge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.