NPIMap

Organization Active NPI

Family Health Services of Darke County, Inc.

Doing business as Family Health Eye Care

  • Vision Therapy Optometrist
  • Greenville, OH
National Provider Identifier
1396104873
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
OPT.3360-THER Issued in OH
Legal business name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Doing business as
Family Health Eye Care
Practice address
133 W Main St
Greenville, OH 45331-1401
Phone
(937) 548-6111
NPI assigned
Feb 12, 2016
Last updated
Feb 12, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Authorized official

Name
Mrs. Jean E. Young
Title
Executive Director
Phone
(937) 548-3806

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X OPT.3360-THER OH Primary
Vision Therapy Optometrist 152WV0400X OPT.5454.THER OH

Addresses

Primary practice location

133 W Main St
Greenville, OH 45331-1401

Mailing address

5735 Meeker Rd
Greenville, OH 45331-1180
Phone (937) 548-9680

Other names 1

  • Family Health Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040427000749 OH Part B Supplier - Clinic/Group Practice 5698762235 Receives reassigned benefits from 82 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Versailles, OH; Union City, OH; Greenville, OH; New Madison, OH; Arcanum, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396104873. Details of each certification follow.

  • CCN 361112 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 361112

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
FAMILY HEALTH SERVICES OF DARKE COUNTY INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 30, 2016
Last certification
Aug 30, 2016
Ownership / control type
For profit – corporation
Facility address
133 West Main Street
Greenville, OH 45331

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

National Provider Directory

National Provider Directory
Part of
FHS Medical Center

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1396104873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5735 MEEKER RD",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311180",
            "telephone_number": "937-548-9680",
            "fax_number": "937-548-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 W MAIN ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311401",
            "telephone_number": "937-548-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "937-548-3806",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "OH",
            "license": "OPT.3360-THER",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "OH",
            "license": "OPT.5454.THER",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, OH

Sources for this page

Verify at the official NPI Registry.