NPIMap

Organization Active NPI

Ohio Eyecare Specialists Inc

  • Optician
  • Dayton, OH
National Provider Identifier
1255508321
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
4207-S Issued in OH
Legal business name
OHIO EYECARE SPECIALISTS INC
Practice address
105 Sugar Camp Cir
Ste 200
Dayton, OH 45409-1962
Phone
(937) 222-3937
Fax
(937) 496-3595
NPI assigned
May 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Authorized official

Name
Mrs. Karen S Johnson
Title
Administrative Manager
Phone
(937) 853-2854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X 4207-S OH Primary

Addresses

Primary practice location

105 Sugar Camp Cir
Ste 200
Dayton, OH 45409-1962

Mailing address

105 Sugar Camp Cir
Ste 200
Dayton, OH 45409-1962
Phone (937) 222-3937

Other identifiers 1

IdentifierTypeStateIssuer
8735408MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1255508321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SUGAR CAMP CIR",
            "address_2": "STE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454091962",
            "telephone_number": "937-222-3937",
            "fax_number": "937-496-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SUGAR CAMP CIR",
            "address_2": "STE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454091962",
            "telephone_number": "937-222-3937",
            "fax_number": "937-496-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO EYECARE SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
        "authorized_official_telephone_number": "937-853-2854",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "4207-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8735408",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.