Active NPI
Russell A Maringer, OD
- Optometrist
- Oak Harbor, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5494
- 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, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2499998 | Medicaid | OH | |
| 2498208 | Other | OH | UNITED HEALTHCARE |
| P00151040 | Other | OH | RAILROAD MEDICARE PIN |
| P00441299 | Other | OH | RAILROAD MEDICARE PIN |
| 000000341090 | Other | OH | ANTHEM |
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
Enrollment records 1
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
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5494 | OH | MD | Optometrist |
| 5494/T2406 | OH | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Russell a Maringer OD Inc. | Optometrist | Current | Accepting new patients |
| Jeffrey L. Morer, OD, PC | Optometrist | Current | Accepting new patients |
| Paulus Eyecare Associates Inc | Optometrist | Past | Accepting new patients |
| Optometric Management Group LLC | Optometrist | Past | 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.
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- Tiffin, OH
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dba Eye Care Professionals of Powell
- Optometrist
- Powell, OH
- NPI 1265534093
-
- Optometrist
- Tiffin, OH
- NPI 1255597688
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.