Fair Vision Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

3728 Issued in OH

Legal business name

FAIR VISION INC

Practice address

113 N Lisbon St
Carrollton, OH 44615-1327

Phone

(330) 627-2430

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kelsea D Naylor, ODNPI 1780033217

Title

President

Phone

(330) 771-0148

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Carrollton Family Vision Doing business as

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

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 2

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

• Kelsea Diane Naylor, O.D.

  • Optometrist
  • Carrollton, OH
  • NPI 1780033217
  Medicare reassignment Care Compare group NPD Authorized official
• Gregory A Fair, O.D.

  • Optometrist
  • Carrollton, OH
  • NPI 1376657668
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1336153196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N LISBON ST",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446151327",
            "telephone_number": "330-627-2430",
            "fax_number": "330-627-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N LISBON ST",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446151327",
            "telephone_number": "330-627-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIR VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "NAYLOR",
        "authorized_official_first_name": "KELSEA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-771-0148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0561299",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0076271",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0171174",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carrollton Family Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eastern Medical Equipment
• Stephanie Dove Eckles, NP-C
• Marissa Elifritz
• Encare Transport LLC
• Excel Physical Therapy Inc.
• Gregory A Fair, O.D.
• Troy Daniel Fairclough, DDS
• Theresa Fisher
• From the Ashes Counseling
• Carl R Fry, D.O.

• Optometrist in Carrollton, OH
• Providers in Carrollton, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.