Organization Active NPI

Staarmann Family Vision Center, Inc

  • Optometrist
  • Fairfield, OH
National Provider Identifier
1285733717
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3895 Issued in OH
Legal business name
STAARMANN FAMILY VISION CENTER, INC
Practice address
2834 Mack Road
Fairfield, OH 45014
Phone
(513) 874-1718
Fax
(513) 870-5600
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Michelle Staarmann, ODNPI 1336201532
Title
Dr Michelle Staarmann OD Pres
Phone
(513) 874-1718

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 3895 OH Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 3825 OH

Addresses

Primary practice location

2834 Mack Road
Fairfield, OH 45014

Mailing address

2834 Mack Road
Fairfield, OH 45014
Phone (513) 874-1718

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050916000336 OH Part B Supplier - Clinic/Group Practice 4284667569 Receives reassigned benefits from 3 practitioners
Practice locations: Fairfield, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1285733717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2834 MACK ROAD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "45014",
            "telephone_number": "513-874-1718",
            "fax_number": "513-870-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2834 MACK ROAD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "45014",
            "telephone_number": "513-874-1718",
            "fax_number": "513-870-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAARMANN FAMILY VISION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "STAARMANN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DR MICHELLE STAARMANN OD PRES",
        "authorized_official_telephone_number": "513-874-1718",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3895",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3825",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.