Individual provider Active NPI

Russell A Maringer, OD

  • Optometrist
  • Oak Harbor, OH
National Provider Identifier
1306926068
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5494 Issued in OH
Practice address
142 W Water St Ste L
Oak Harbor, OH 43449-1373
Phone
(419) 898-1918
Fax
(866) 651-8467
NPI assigned
Oct 17, 2006
Last updated
Oct 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5494 OH Primary
Ophthalmology Physician 207W00000X 5494/T2406 OH

Addresses

Primary practice location

142 W Water St Ste L
Oak Harbor, OH 43449-1373

Mailing address

3972 S Memorial Shoreway Dr
Eye Surgery Consultants Inc.
Lakeside Marblehead, OH 43440-2374
Phone (567) 230-0263

Other identifiers 5

IdentifierTypeStateIssuer
2499998MedicaidOH
2498208OtherOHUNITED HEALTHCARE
P00151040OtherOHRAILROAD MEDICARE PIN
P00441299OtherOHRAILROAD MEDICARE PIN
000000341090OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040908000507 OH Practitioner - Optometry 0749256139 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey L Morer OD PCGroup PAC ID 7719870807, 50 clinicians

Practice addresses (Care Compare)

142 University Dr
Chillicothe, OH 45601-2198
Phone (888) 964-6681

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5494OHMDOptometrist
5494/T2406OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Russell a Maringer OD Inc. Optometrist CurrentSince Nov 3, 2011 Accepting new patients
Jeffrey L. Morer, OD, PC Optometrist CurrentSince Sep 1, 2021 Accepting new patients
Paulus Eyecare Associates Inc Optometrist Past Accepting new patients
Optometric Management Group LLC Optometrist PastSince Oct 19, 2020 Accepting new patients

Locations

655 Metro Pl S
Ste 600
Dublin, OH 43017
Phone (614) 323-3578

142 W Water St
Ste L
Oak Harbor, OH 43449
Phone (419) 898-1918

34 W Market St
Tiffin, OH 44883
Phone (419) 447-5616

455 E Market St
Ste F
Tiffin, OH 44883
Phone (419) 443-0525

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1306926068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3972 S MEMORIAL SHOREWAY DR",
            "address_2": "EYE SURGERY CONSULTANTS INC.",
            "city": "LAKESIDE MARBLEHEAD",
            "state": "OH",
            "postal_code": "434402374",
            "telephone_number": "567-230-0263",
            "fax_number": "866-651-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 W WATER ST STE L",
            "city": "OAK HARBOR",
            "state": "OH",
            "postal_code": "434491373",
            "telephone_number": "419-898-1918",
            "fax_number": "866-651-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINGER",
        "first_name": "RUSSELL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5494",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "5494/T2406",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2499998",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2498208",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00151040",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00441299",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000341090",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, OH

Sources for this page

Verify at the official NPI Registry.