Eye Centers of Northwest Ohio Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EYE CENTERS OF NORTHWEST OHIO INC

Practice address

2311 Hayes Ave
Fremont, OH 43420-2634

Phone

(419) 334-8121

Fax

(419) 332-9351

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Russ Stoner

Title

Practice Administrator

Phone

(419) 334-8121

Specialties & licenses 1

Addresses

Other identifiers 1

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

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory J Derodes, O.D.

  • Optometrist
  • Fremont, OH
  • NPI 1790876605
  NPD (past)
• Stacy Pasch Rellinger, OD

  • Optometrist
  • Fremont, OH
  • NPI 1134299209
  NPD (past)
• Thomas A Brummer, MD

  • Ophthalmology Physician
  • Evansville, IN
  • NPI 1275582900
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1265447973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 HAYES AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202634",
            "telephone_number": "419-334-8121",
            "fax_number": "419-332-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 HAYES AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202634",
            "telephone_number": "419-334-8121",
            "fax_number": "419-332-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CENTERS OF NORTHWEST OHIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "STONER",
        "authorized_official_first_name": "RUSS",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "419-334-8121"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0669656",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Esker, PTA
• Nancy Yvonne Estep, L.M.T.
• Robyn Everhart
• Everside Health Center-Fremont
• Exigence of Fremont, LLC
• Eye Centers of Northwest Ohio LLC
• F O R M E Medical & Rehab Center of Fremont, Inc
• Family Medicine Associates of Sandusky Co LLC
• Peter Michael Fantino, L.M.T.
• Alexandra Farmer, CDCA

• Eyewear Supplier in Fremont, OH
• Providers in Fremont, OH by specialty
• Eyewear Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.