Medina Eye Associates Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35049330B Issued in OH

Legal business name

MEDINA EYE ASSOCIATES INC.

Practice address

970 E Washington St Ste 201
Medina, OH 44256-2171

Phone

(330) 725-7748

Fax

(330) 722-5552

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Myron Eugene Bodnar IV, M.D.

Title

President

Phone

(330) 725-7748

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Gregory J Rogers, M.D.

  • Vascular Surgery Physician
  • Middleburg Heights, OH
  • NPI 1437110632
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1346269495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 E WASHINGTON ST STE 201",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562171",
            "telephone_number": "330-725-7748",
            "fax_number": "330-722-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 E WASHINGTON ST STE 201",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562171",
            "telephone_number": "330-725-7748",
            "fax_number": "330-722-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA EYE ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "BODNAR",
        "authorized_official_first_name": "MYRON",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-725-7748",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35049330B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0947131",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medina Creative Accessibility
• Medina Dental Corporation
• Medina Dental Sleep Solutions LLC
• Medina Emergency Associates LTD
• Medina Endodontic Associates, Inc.
• Medina Family Chiropractic Center Inc.
• Medina Family Pharmacy LLC
• Medina General Hospital
• Medina Health and Wellness Center Inc
• Medina Hospital

• 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 Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.