Organization Active NPI

Fox Optometry, LLC

Doing business as Family Vision & Eye Care

  • Optometrist
  • Bellefontaine, OH
National Provider Identifier
1457693616
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5471 Issued in OH
Legal business name
FOX OPTOMETRY, LLC
Doing business as
Family Vision & Eye Care
Practice address
315 E Columbus Ave
Bellefontaine, OH 43311-2001
Phone
(937) 592-9777
Fax
(937) 592-4060
NPI assigned
Mar 26, 2013
Last updated
Jun 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Authorized official

Name
Dr. Anthony E Fox, O.D., M.S.NPI 1770547960
Title
Optometrist
Phone
(614) 787-6700

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 5471 OH Primary

Addresses

Primary practice location

315 E Columbus Ave
Bellefontaine, OH 43311-2001

Mailing address

315 E Columbus Ave
Bellefontaine, OH 43311-2001
Phone (937) 592-9777

Other identifiers 1

IdentifierTypeStateIssuer
0082225MedicaidOH

Other names 1

  • Family Vision & 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
O20130606000846 OH Part B Supplier - Clinic/Group Practice 6406094101 Receives reassigned benefits from 3 practitioners
Practice locations: Athens, OH; Bellefontaine, OH; Columbus, OH; Lewis Center, OH

National Provider Directory

National Provider Directory

Locations

315 E Columbus Ave
Bellefontaine, OH 43311
Phone (937) 592-9777

1454 W Mound St
Columbus, OH 43223
Phone (614) 276-5441

6116 Boardwalk St
Columbus, OH 43229
Phone (614) 430-8964

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1457693616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E COLUMBUS AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112001",
            "telephone_number": "937-592-9777",
            "fax_number": "937-592-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E COLUMBUS AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112001",
            "telephone_number": "937-592-9777",
            "fax_number": "937-592-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX OPTOMETRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "614-787-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D., M.S."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0082225",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Vision & Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellefontaine, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.