Organization Active NPI

Children'S Eye Care Center of Northwest Ohio, Inc.

  • Ophthalmology Physician
  • Perrysburg, OH
National Provider Identifier
1356488035
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35053982W Issued in OH
Legal business name
CHILDREN'S EYE CARE CENTER OF NORTHWEST OHIO, INC.
Practice address
842 W South Boundary St
Perrysburg, OH 43551-5265
Phone
(419) 872-9777
Fax
(419) 872-9781
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Patricia A Welter, MDNPI 1790783066
Title
Owner
Phone
(419) 872-9777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X 35053982W OH Primary

Addresses

Primary practice location

842 W South Boundary St
Perrysburg, OH 43551-5265

Mailing address

842 W South Boundary St
Perrysburg, OH 43551-5265
Phone (419) 872-9777

Other identifiers 1

IdentifierTypeStateIssuer
0240046MedicaidOH

National Provider Directory

National Provider Directory

Locations

842 W South Boundary St
Perrysburg, OH 43551
Phone (419) 406-4780

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356488035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 W SOUTH BOUNDARY ST",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515265",
            "telephone_number": "419-872-9777",
            "fax_number": "419-872-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 W SOUTH BOUNDARY ST",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515265",
            "telephone_number": "419-872-9777",
            "fax_number": "419-872-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S EYE CARE CENTER OF NORTHWEST OHIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELTER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-872-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35053982W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0240046",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.