Organization Active NPI

Thomas H. Handel OD, Inc.

  • Optometrist
  • Fairlawn, OH
National Provider Identifier
1255419966
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3945/T474 Issued in OH
Legal business name
THOMAS H. HANDEL OD, INC.
Practice address
270 S Cleveland Massillon Rd
Suite a
Fairlawn, OH 44333-3014
Phone
(330) 666-1766
Fax
(330) 670-9662
NPI assigned
Nov 1, 2006
Organization subpart
Yes
Parent organization
THOMAS H. HANDEL OD, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Authorized official

Name
Thomas Heinz Handel, ODNPI 1528038395
Title
Owner
Phone
(330) 666-1766

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 3945/T474 OH Primary

Addresses

Primary practice location

270 S Cleveland Massillon Rd
Suite a
Fairlawn, OH 44333-3014

Mailing address

270 S Cleveland Massillon Rd
Suite a
Fairlawn, OH 44333-3014
Phone (330) 666-1766

Other identifiers 3

IdentifierTypeStateIssuer
000000387842OtherANTHEM BCBS
DP4279OtherOHRAILROAD MEDICARE
256763MedicaidOH

Other names 1

  • Handel Vision Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080812000239 OH Part B Supplier - Clinic/Group Practice 2264507169 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
Practice locations: Fairlawn, OH; Newton Falls, OH; Akron, OH

Other NPIs on the same Medicare enrollment 2

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2228897Handel Vision Clinic270 South Cleveland Massillon Rd, Fairlawn, OH 44333Certificate of waiverJul 1, 2027

National Provider Directory

National Provider Directory
Part of
Thomas H Handel OD Inc

Practitioners & affiliated clinicians

Practitioners 1

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1255419966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 S CLEVELAND MASSILLON RD",
            "address_2": "SUITE A",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333014",
            "telephone_number": "330-666-1766",
            "fax_number": "330-670-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 S CLEVELAND MASSILLON RD",
            "address_2": "SUITE A",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333014",
            "telephone_number": "330-666-1766",
            "fax_number": "330-670-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS H. HANDEL OD, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THOMAS H. HANDEL OD, INC.",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "HANDEL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "HEINZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-666-1766",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3945/T474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000387842",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DP4279",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256763",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Handel Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.