Ohio Physicians Eyecare Group, P.a., Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OHIO PHYSICIANS EYECARE GROUP, P.A., INC.

Practice address

2650 N Fairfield Rd Ste a
Beavercreek, OH 45431-1711

Phone

(937) 429-7800

Fax

(937) 429-9637

NPI assigned

Nov 30, 2018

Organization subpart

No

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

Authorized official

Name

Alisha Jackson

Title

Senior Revenue Cycle Manager

Phone

(561) 208-1591

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1255801429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24686",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100874686",
            "telephone_number": "561-275-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 N FAIRFIELD RD STE A",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454311711",
            "telephone_number": "937-429-7800",
            "fax_number": "937-429-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO PHYSICIANS EYECARE GROUP, P.A., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_title_or_position": "SENIOR REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "561-208-1591"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.