Individual provider Active NPI

Emily P Amweg, OD

  • Optometrist
  • Mount Gilead, OH
National Provider Identifier
1356879910
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6533 Issued in OH
Practice address
58 W High St
Mount Gilead, OH 43338-1213
Phone
(419) 756-8000
Fax
(419) 947-8355
NPI assigned
May 26, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6533 OH Primary

Addresses

Primary practice location

58 W High St
Mount Gilead, OH 43338-1213

Mailing address

466 S Trimble Rd
Mansfield, OH 44906-3416
Phone (419) 756-8000

Other practice location 1

466 S Trimble Rd
Mansfield, OH 44906-3416
Phone (419) 756-8000

Other identifiers 1

IdentifierTypeStateIssuer
0228222MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eamweg@ohioeye.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170614001952 OH Practitioner - Optometry 8022386168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Eye Optometric LLCGroup PAC ID 7012144876, 11 clinicians

Practice addresses (Care Compare)

466 S Trimble Rd
Mansfield, OH 44906-3416
Phone (419) 756-8000

Merit-based Incentive Payment System (MIPS)

Final score
94.15 of 100Reported as group
Quality
88.3
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Eye Optometric, LLC Optometrist CurrentSince Aug 1, 2017 Accepting new patients
Ohio Eye Optometric LLC Optometrist CurrentSince Aug 1, 2017 Accepting new patients
Ohio Eye Optometric, LLC Optometrist Past Accepting new patients

Locations

129 S Walnut St
Bucyrus, OH 44820
Phone (419) 560-4503

466 S Trimble Rd
Mansfield, OH 44906
Phone (419) 756-8000

58 W High St
Mount Gilead, OH 43338
Phone (419) 756-8000

110 Coshocton Ave
Ste C
Mount Vernon, OH 43050
Phone (419) 756-8000

1991 Park Ave W
Ontario, OH 44906
Phone (419) 521-3937

38 Sandusky St
Plymouth, OH 44865
Phone (419) 687-6791

76 W Main St
Shelby, OH 44875
Phone (419) 347-1445

Interoperability endpoints

  • Direct secure messaging: eamweg@ohioeye.intellechartdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356879910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 S TRIMBLE RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063416",
            "telephone_number": "419-756-8000",
            "fax_number": "419-756-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 W HIGH ST",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381213",
            "telephone_number": "419-756-8000",
            "fax_number": "419-947-8355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "466 S Trimble Rd",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449063416",
            "country_code": "US",
            "telephone_number": "419-756-8000",
            "fax_number": "419-756-2601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMWEG",
        "first_name": "EMILY",
        "middle_name": "P",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-26",
        "last_updated": "2022-07-21",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0228222",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eamweg@ohioeye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "58 W High St",
            "city": "Mount Gilead",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433381213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Gilead, OH

Sources for this page

Verify at the official NPI Registry.