Ohio Eye Care Consultants, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

OHIO EYE CARE CONSULTANTS, LLC

Practice address

4463 Weymouth Rd
Medina, OH 44256-9249

Phone

(330) 722-8300

Fax

(330) 725-0445

NPI assigned

Nov 4, 2020

Organization subpart

No

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

Authorized official

Name

Donna L Perrin

Title

Practice Administrator

Phone

(330) 722-8300

Specialties & licenses 2

Addresses

Other names 1

• Northeast Ohio Eye Surgeons Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Ohio Eye Care Consultants, LLC

  • Ophthalmology Physician
  • Medina, OH
  • NPI 1568581965

  O20051221000213

  Same enrollment

Tax ID family

Ohio Eye Care Consultan3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Ohio Eye Care Consultants, LLC

  • Customized Equipment (DME)
  • Medina, OH
  • NPI 1053361147
  NPD tax ID
• Ohio Eye Care Consultants, LLC

  • Ophthalmology Physician
  • Wadsworth, OH
  • NPI 1750532990
  NPD tax ID

Locations

Practitioners 8

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

• Jenna Ranae Bernard, OD

  • Optometrist
  • Medina, OH
  • NPI 1417696873
  NPD
• Myron Eugene Bodnar, M.D.

  • Ophthalmology Physician
  • Medina, OH
  • NPI 1457356032
  NPD
• Joanne H. Briggs, MD

  • Ophthalmology Physician
  • Fairlawn, OH
  • NPI 1508940552
  NPD
• Thomas SK CHI, MD

  • Ophthalmology Physician
  • Medina, OH
  • NPI 1851341846
  NPD
• Amy M Fernandez, OD

  • Optometrist
  • Medina, OH
  • NPI 1952352015
  NPD
• Sara M Prusinski, OD

  • Optometrist
  • Medina, OH
  • NPI 1629147566
  NPD
• Jennifer Sidun Vincent, O.D.

  • Optometrist
  • Kent, OH
  • NPI 1326483546
  NPD
• Lawrence E Lohman, M.D.

  • Ophthalmology Physician
  • Kent, OH
  • NPI 1154321859
  NPD (past)

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1336740570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3583 RESERVE COMMONS DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568180",
            "telephone_number": "330-722-8300",
            "fax_number": "330-725-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4463 WEYMOUTH RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569249",
            "telephone_number": "330-722-8300",
            "fax_number": "330-725-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO EYE CARE CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "PERRIN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "330-722-8300"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Ohio Eye Surgeons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ohio Crna
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• Ohio Eye Care Consultants, LLC
• Ohio Eye Care Consultants, LLC
• Ohio Pain Services, Inc.
• Ohio Permanente Medical Group
• Ohio Podiatric Physicians and Surgeons Group LLC
• Ohio Sleep Disorders

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.