Organization Active NPI

Cadiz Vision Center LTD

Doing business as Jill M. Barker O.D.

  • Optometrist
  • Dover, OH
National Provider Identifier
1245550987
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4771 Issued in OH
Legal business name
CADIZ VISION CENTER LTD
Doing business as
Jill M. Barker O.D.
Practice address
515 N Wooster Ave
Dover, OH 44622-2862
Phone
(330) 343-6941
Fax
(330) 343-5941
NPI assigned
Jun 4, 2010
Last updated
Dec 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Authorized official

Name
Dr. Jill Marie Barker, O.D.NPI 1023071123
Title
Owner
Phone
(330) 343-6941

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
Optometrist 152W00000X 4771 OH Primary

Addresses

Primary practice location

515 N Wooster Ave
Dover, OH 44622-2862

Mailing address

515 N Wooster Ave
Dover, OH 44622-2862
Phone (330) 343-6941

Other names 1

  • Jill M. Barker O.D. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040223001198 OH Part B Supplier - Clinic/Group Practice 2163334798 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dover, OH; Cadiz, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

515 N Wooster Ave
Dover, OH 44622
Phone (330) 343-6941

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": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1245550987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N WOOSTER AVE",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222862",
            "telephone_number": "330-343-6941",
            "fax_number": "330-343-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N WOOSTER AVE",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222862",
            "telephone_number": "330-343-6941",
            "fax_number": "330-343-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADIZ VISION CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-343-6941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jill M. Barker O.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.