Organization Active NPI

Dayton Eye Associates Inc

  • Specialist
  • Dayton, OH
National Provider Identifier
1356365944
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DAYTON EYE ASSOCIATES INC
Practice address
77 E Woodbury Dr
Suite 100
Dayton, OH 45415-2855
Phone
(937) 276-2020
Fax
(937) 276-0504
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Angie Pinto
Title
Billing Manager
Phone
(937) 320-5125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

77 E Woodbury Dr
Suite 100
Dayton, OH 45415-2855

Mailing address

89 Sylvania Dr
Dayton, OH 45440-3281
Phone (937) 320-2020

Other identifiers 2

IdentifierTypeStateIssuer
0321780001OtherOHDMERC
0391151MedicaidOH

National Provider Directory

National Provider Directory

Locations

77 E Woodbury Dr
Ste 100
Dayton, OH 45415
Phone (937) 274-2117

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1356365944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 SYLVANIA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454403281",
            "telephone_number": "937-320-2020",
            "fax_number": "937-320-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E WOODBURY DR",
            "address_2": "SUITE 100",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454152855",
            "telephone_number": "937-276-2020",
            "fax_number": "937-276-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON EYE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "PINTO",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "937-320-5125"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0321780001",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0391151",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.