Oldenburgh Eye Center LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OH4375 Issued in OH

Legal business name

OLDENBURGH EYE CENTER LLC

Practice address

4342 Ridge Rd
Brooklyn, OH 44144-2718

Phone

(216) 741-3733

Fax

(216) 749-3137

NPI assigned

Mar 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. David R Oldenburgh, O.D.

Title

Optometrist

Phone

(216) 741-3733

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Robert Rowe, O.D.

  • Optometrist
  • Brooklyn, OH
  • NPI 1457487340
  NPD (past)

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1497096291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4342 RIDGE RD",
            "city": "BROOKLYN",
            "state": "OH",
            "postal_code": "441442718",
            "telephone_number": "216-741-3733",
            "fax_number": "216-749-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4342 RIDGE RD",
            "city": "BROOKLYN",
            "state": "OH",
            "postal_code": "441442718",
            "telephone_number": "216-741-3733",
            "fax_number": "216-749-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLDENBURGH EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "OLDENBURGH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "216-741-3733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH4375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "205263",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5076558",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reaver D Nelson, LISW-S
• Andrew Kenneth Norton
• Mary Catherine Nowakowski, CNP
• Sifa Ntirampeba
• Joan A Nunnery, APN-C
• Monica M Owen, OTR/L
• Itisha Patel, DDS
• Eric Payne
• Perfect Clarity LLC
• John Porch, PHARMD.

• Optometrist in Brooklyn, OH
• Providers in Brooklyn, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.