Organization Active NPI

Eyecare for the Valley LLC

  • Optometrist
  • Niles, OH
National Provider Identifier
1366887630
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6044 Issued in OH
Legal business name
EYECARE FOR THE VALLEY LLC
Practice address
5555 Youngstown Warren Rd Unit 9
Niles, OH 44446-4804
Phone
(330) 505-9563
Fax
(330) 505-9580
NPI assigned
May 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Thomas Jarome, OD
Title
Optometrist
Phone
(330) 505-9563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6044 OH Primary

Addresses

Primary practice location

5555 Youngstown Warren Rd Unit 9
Niles, OH 44446-4804

Mailing address

1100 Boardman Canfield Rd Apt 66C
Boardman, OH 44512-8050
Phone (330) 507-4594

National Provider Directory

National Provider Directory

Locations

5555 Youngstown Warren Rd
Unit 9
Niles, OH 44446
Phone (330) 505-9563

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1366887630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BOARDMAN CANFIELD RD APT 66C",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445128050",
            "telephone_number": "330-507-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 YOUNGSTOWN WARREN RD UNIT 9",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444464804",
            "telephone_number": "330-505-9563",
            "fax_number": "330-505-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE FOR THE VALLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "JAROME",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "330-505-9563",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.