NPIMap

Organization Active NPI

Spectrum Eye Care Inc

  • Eyewear Supplier
  • Findlay, OH
National Provider Identifier
1396828067
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SPECTRUM EYE CARE INC
Practice address
15840 Medical Drive South
Suite a
Findlay, OH 45840
Phone
(419) 422-6190
Fax
(419) 423-3235
NPI assigned
Oct 24, 2006
Organization subpart
Yes
Parent organization
SPECTRUM EYE CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Authorized official

Name
Dr. Jack G G Hendershot Jr., MD
Title
President Owner
Phone
(419) 422-6190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

15840 Medical Drive South
Suite a
Findlay, OH 45840

Mailing address

15840 Medical Drive South
Suite a
Findlay, OH 45840
Phone (419) 422-6190

Other identifiers 5

IdentifierTypeStateIssuer
0297021MedicaidOH
CF6565OtherOHRR MEDICARE
487287400OtherOHDEPT OF LABORWORKERS COMP
14540000OtherOHPROXYMED
000000319582OtherOHANTHEM BCBS

Other names 1

  • Eye Surgeons of Findlay Former legal business name

National Provider Directory

National Provider Directory
Part of
Spectrum Eye Care

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-spectrum

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1396828067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15840 MEDICAL DRIVE SOUTH",
            "address_2": "SUITE A",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "45840",
            "telephone_number": "419-422-6190",
            "fax_number": "419-423-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15840 MEDICAL DRIVE SOUTH",
            "address_2": "SUITE A",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "45840",
            "telephone_number": "419-422-6190",
            "fax_number": "419-423-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM EYE CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECTRUM EYE CARE INC",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "HENDERSHOT",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "G G",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "419-422-6190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0297021",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CF6565",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABORWORKERS COMP",
            "identifier": "487287400",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROXYMED",
            "identifier": "14540000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000319582",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Surgeons of Findlay",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Findlay, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.