Organization Active NPI

Just 4 Eyes LLC

  • Optometrist
  • Centerville, OH
National Provider Identifier
1467608372
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OH4267 Issued in OH
Legal business name
JUST 4 EYES LLC
Practice address
5826 Wilmington Pike
Centerville, OH 45459-7004
Phone
(937) 428-9499
NPI assigned
Aug 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Authorized official

Name
Mr. James A BierlyNPI 1609921550
Title
Owner
Phone
(937) 428-9499

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 OH4267 OH Primary

Addresses

Primary practice location

5826 Wilmington Pike
Centerville, OH 45459-7004

Mailing address

5826 Wilmington Pike
Centerville, OH 45459-7004
Phone (937) 428-9499

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040209000279 OH Part B Supplier - Clinic/Group Practice 5799679197 Receives reassigned benefits from 1 practitioner
Practice locations: Centerville, OH; Eaton, OH

National Provider Directory

National Provider Directory

Locations

5826 Wilmington Pike
Dayton, OH 45459
Phone (937) 428-9499

1400 N Barron St
Eaton, OH 45320
Phone (937) 456-9964

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1467608372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5826 WILMINGTON PIKE",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454597004",
            "telephone_number": "937-428-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5826 WILMINGTON PIKE",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454597004",
            "telephone_number": "937-428-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST 4 EYES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "BIERLY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-428-9499",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH4267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.