Active NPI
Davis Eye Center, Inc.
- Ophthalmology Physician
- Cuyahoga Falls, OH
National Provider Identifier
1366455602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 34-00-3491
- Legal business name
- DAVIS EYE CENTER, INC.
- Practice address
- 789 Graham Rd
Cuyahoga Falls, OH 44221 - Phone
- (330) 923-5676
- Fax
- (330) 923-0411
- NPI assigned
- Aug 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda D Cook
- Title
- Office Manager
- Phone
- (330) 923-5676
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 34-00-3491 | OH | Primary |
Addresses
Primary practice location
789 Graham Rd
Cuyahoga Falls, OH 44221
Mailing address
789 Graham Rd
Cuyahoga Falls, OH 44221
Phone (330) 923-5676
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0232724 | Medicaid | OH | |
| 2143577 | Other | AETNA | |
| CD6845 | Other | RAILROAD MEDICARE |
Other names 1
- Falls Ophthalmology
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585785600000",
"number": "1366455602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "789 GRAHAM RD",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "44221",
"telephone_number": "330-923-5676",
"fax_number": "330-923-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 GRAHAM RD",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "44221",
"telephone_number": "330-923-5676",
"fax_number": "330-923-0411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVIS EYE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-15",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A",
"authorized_official_last_name": "COOK",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "330-923-5676"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "OH",
"license": "34-00-3491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0232724",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2143577",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CD6845",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Falls Ophthalmology",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Cuyahoga Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.