Organization Active NPI

Infinity Eye Care LLC

  • Optometrist
  • Twinsburg, OH
National Provider Identifier
1245842137
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
INFINITY EYE CARE LLC
Practice address
9981 Vail Dr Unit A2
Twinsburg, OH 44087-4901
Phone
(330) 583-4441
Fax
(330) 583-4471
NPI assigned
Aug 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Authorized official

Name
Dr. Ryan Owen McKinnis, ODNPI 1134432230
Title
Owner
Phone
(330) 583-4441

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 Primary

Addresses

Primary practice location

9981 Vail Dr Unit A2
Twinsburg, OH 44087-4901

Mailing address

PO Box 1118
Twinsburg, OH 44087-9118
Phone (330) 583-4441

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210105001781 OH Part B Supplier - Clinic/Group Practice 9739592015 Receives reassigned benefits from 2 practitioners
Practice locations: Twinsburg, OH

National Provider Directory

National Provider Directory

Locations

9981 Vail Dr
Unit A2
Twinsburg, OH 44087
Phone (330) 583-4441

9981 Vail Dr
Twinsburg, OH 44087

Practitioners & affiliated clinicians

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": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1245842137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1118",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440879118",
            "telephone_number": "330-583-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9981 VAIL DR UNIT A2",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440874901",
            "telephone_number": "330-583-4441",
            "fax_number": "330-583-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "MCKINNIS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-583-4441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twinsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.