Organization Active NPI

Eyes on Main, LLC

  • Optometrist
  • Findlay, OH
National Provider Identifier
1477735538
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3756T705 Issued in OH
Legal business name
EYES ON MAIN, LLC
Practice address
334 S Main St
Findlay, OH 45840-3353
Phone
(419) 422-2015
Fax
(419) 427-9477
NPI assigned
Nov 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Authorized official

Name
Dr. Duane Leslie Wires, O.D.
Title
President
Phone
(419) 422-2015

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3756T705 OH Primary
Durable Medical Equipment & Medical Supplies 332B00000X 3756T705 OH

Addresses

Primary practice location

334 S Main St
Findlay, OH 45840-3353

Mailing address

334 S Main St
Findlay, OH 45840-3353
Phone (419) 422-2015

Other identifiers 1

IdentifierTypeStateIssuer
055775MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1477735538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 S MAIN ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458403353",
            "telephone_number": "419-422-2015",
            "fax_number": "419-427-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 S MAIN ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458403353",
            "telephone_number": "419-422-2015",
            "fax_number": "419-427-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES ON MAIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "WIRES",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-422-2015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3756T705",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "3756T705",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055775",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 24, 2020; 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.