NPIMap

Organization Active NPI

Ohio Eye Optometric, LLC

  • Eyewear Supplier
  • Bucyrus, OH
National Provider Identifier
1255756128
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
59900093 Issued in OH
Legal business name
OHIO EYE OPTOMETRIC, LLC
Practice address
129 S Walnut St
Bucyrus, OH 44820-2325
Phone
(419) 756-8000
Fax
(419) 756-7100
NPI assigned
Feb 28, 2014
Last updated
Mar 8, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
OHIO EYE ASSOCIATES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Authorized official

Name
Jonathan M Skarie, MDNPI 1215254917
Title
Owner
Phone
(419) 756-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 59900093 OH Primary

Addresses

Primary practice location

129 S Walnut St
Bucyrus, OH 44820-2325

Mailing address

466 S Trimble Rd
Suite D
Mansfield, OH 44906-3416
Phone (419) 756-8000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140723000189 OH DME Supplier - Physician - OptometristDME Supplier - Optician 7012144876 Practice locations: Bucyrus, OH

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ohio Eye Optometric LLC129 S Walnut St, Bucyrus, OH 44820-2325(800) 423-0694 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Nov 1, 2013

National Provider Directory

National Provider Directory
Tax ID family
Ohio Eye Optometric LLC8 organizations share this tax ID, including this one
Part of
Eye Surgery Center-Fac

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

129 S Walnut St
Bucyrus, OH 44820
Phone (419) 560-4503

466 S Trimble Rd
Ste D
Mansfield, OH 44906

Practitioners & affiliated clinicians

Practitioners 1

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": "1393545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1255756128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 S TRIMBLE RD",
            "address_2": "SUITE D",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063416",
            "telephone_number": "419-756-8000",
            "fax_number": "419-756-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 S WALNUT ST",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448202325",
            "telephone_number": "419-756-8000",
            "fax_number": "419-756-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO EYE OPTOMETRIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OHIO EYE ASSOCIATES, INC",
        "enumeration_date": "2014-02-28",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "SKARIE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-756-8000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "59900093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bucyrus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.