DRS. Ravin, Birndorf & Ravin, Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

DRS. RAVIN, BIRNDORF & RAVIN, INC.

Doing business as

Specialty Eye Institute

Practice address

3000 Regency CT Ste 100
Toledo, OH 43623-3081

Phone

(419) 882-2020

Fax

(419) 885-8440

NPI assigned

Sep 16, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas T Roark

Title

Ceo

Phone

(517) 841-3007

Specialties & licenses 3

Addresses

Other identifiers 5

Other names 1

• Specialty Eye Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in OH, MI3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 60

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David L Bejot, OD

  • Optometrist
  • Toledo, OH
  • NPI 1588668222

  MI

  Medicare reassignment Care Compare group NPD
• James G Ravin, MD

  • Ophthalmology Physician
  • Toledo, OH
  • NPI 1437153178
  Medicare reassignment Care Compare group NPD
• Neal A Tolchin, M.D.

  • Ophthalmology Physician
  • Toledo, OH
  • NPI 1902800642

  MI

  Medicare reassignment Care Compare group NPD
• David Trujillo, O.D.

  • Optometrist
  • Toledo, OH
  • NPI 1639443930

  MI

  Medicare reassignment Care Compare group NPD
• Alexander James Cherry, M.D.

  • Ophthalmology Physician
  • Lexington, KY
  • NPI 1053796730

  MI, OH

  Medicare reassignment Care Compare group NPD
• William Robert Rhoades, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Adrian, MI
  • NPI 1750692703

  OH

  Medicare reassignment Care Compare group NPD
• Rashawn Winfred Venerable, D.O.

  • Ophthalmology Physician
  • Adrian, MI
  • NPI 1720164973

  OH, Optometrist

  Medicare reassignment Care Compare group NPD
• Jonathan M Bernstein, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Toledo, OH
  • NPI 1497750574

  MI

  Medicare reassignment NPD
• Ronald N Brown, MD

  • Ophthalmology Physician
  • Toledo, OH
  • NPI 1386648970
  Medicare reassignment NPD
• Casey Bunge, MD

  • Ophthalmology Physician
  • Jackson, MI
  • NPI 1477036887
  NPD
• Carmelina Gordon, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Jackson, MI
  • NPI 1952399297
  NPD
• Alexander James Groth

  • Optometrist
  • Jackson, MI
  • NPI 1720571839
  NPD

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316043110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W NORTH ST STE 104",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023196",
            "telephone_number": "877-852-8463",
            "fax_number": "517-817-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 REGENCY CT STE 100",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233081",
            "telephone_number": "419-882-2020",
            "fax_number": "419-885-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. RAVIN, BIRNDORF & RAVIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROARK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "517-841-3007"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0630320",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "900D610840",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "180D661670",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA0110",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE0364",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialty Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ophthalmology Physician in Toledo, OH
• Providers in Toledo, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.