Active NPI
Marion Eye Center, Inc
- Ophthalmology Physician
- Marion, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- MARION EYE CENTER, INC
- Practice address
- 1462 Marion Waldo Rd
Marion, OH 43302-7422 - Phone
- (740) 389-5418
- Fax
- (740) 389-5410
- NPI assigned
- Feb 28, 2006
- 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
- Steven Michael Kirkham, MD
- Title
- President
- Phone
- (740) 389-5418
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1462 Marion Waldo Rd
Marion, OH 43302-7422
Mailing address
1462 Marion Waldo Rd
Marion, OH 43302-7422
Phone (740) 389-5418
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0154792 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050916000990 | OH | Part B Supplier - Clinic/Group Practice | 6709819964 |
Receives reassigned benefits from 4 practitioners Practice locations: Marion, OH; Delaware, OH |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Marion Eye Center Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Marion, OH
- NPI 1275792541
Locations
1462 Marion Waldo Rd
Marion, OH 43302
Phone (740) 389-5418
1448 Marion Waldo Rd
Marion, OH 43302
Phone (740) 386-6580
Practitioners & affiliated clinicians
Practitioners 4
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": "1141084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278374400000",
"number": "1255307237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1462 MARION WALDO RD",
"city": "MARION",
"state": "OH",
"postal_code": "433027422",
"telephone_number": "740-389-5418",
"fax_number": "740-389-5410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1462 MARION WALDO RD",
"city": "MARION",
"state": "OH",
"postal_code": "433027422",
"telephone_number": "740-389-5418",
"fax_number": "740-389-5410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARION EYE CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-28",
"last_updated": "2010-07-06",
"status": "A",
"authorized_official_last_name": "KIRKHAM",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "740-389-5418",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0154792",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.