NPIMap

Organization Active NPI

Ohio Eye Optometric LLC

  • Optometrist
  • Mansfield, OH
National Provider Identifier
1447592050
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OHIO EYE OPTOMETRIC LLC
Practice address
466 S Trimble Rd
Mansfield, OH 44906-3416
Phone
(419) 756-8000
Fax
(419) 756-2601
NPI assigned
Mar 21, 2013
Organization subpart
Yes
Parent organization
OHIO EYE ASSOCIATES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Jonathan M Skarie, MDNPI 1215254917
Title
Owner
Phone
(419) 756-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

466 S Trimble Rd
Mansfield, OH 44906-3416

Mailing address

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

Other names 1

  • OEO Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140313000254 OH Part B Supplier - Clinic/Group Practice 7012144876 Receives reassigned benefits from 11 practitioners
Practice locations: Mansfield, OH; Mount Vernon, OH; Ontario, OH

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Ohio Eye Optometric LLC8 organizations share this tax ID, including this one
Part of
Ohio Eye Associates Inc

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

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

110 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 392-4000

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1447592050",
    "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": "466 S TRIMBLE RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063416",
            "telephone_number": "419-756-8000",
            "fax_number": "419-756-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO EYE OPTOMETRIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OHIO EYE ASSOCIATES INC",
        "enumeration_date": "2013-03-21",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "SKARIE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-756-8000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OEO",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "OEO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.