NPIMap

Organization Active NPI

Ohio Vision of Toledo Inc

  • Specialist
  • Oregon, OH
National Provider Identifier
1528096203
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
OHIO VISION OF TOLEDO INC
Practice address
2740 Navarre Ave
Oregon, OH 43616-3216
Phone
(419) 693-4444
Fax
(419) 697-2149
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Mr. William G. Martin, M.D.
Title
Medical Director
Phone
(419) 693-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2740 Navarre Ave
Oregon, OH 43616-3216

Mailing address

2740 Navarre Ave
Oregon, OH 43616-3216
Phone (419) 693-4444

Other identifiers 3

IdentifierTypeStateIssuer
2673085MedicaidOH
2190657OtherOHUNITED HEALTH CARE
4559068OtherOHAETNA

Other names 1

  • Optivue Doing business as

National Provider Directory

National Provider Directory

Locations

485 W Dussel Dr
Maumee, OH 43537
Phone (419) 697-3635

5733 Lewis Ave
Toledo, OH 43612
Phone (419) 476-5333

1835 S Reynolds Rd
Toledo, OH 43614
Phone (419) 382-6400

Practitioners & affiliated clinicians

Practitioners 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1528096203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 NAVARRE AVE",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163216",
            "telephone_number": "419-693-4444",
            "fax_number": "419-697-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 NAVARRE AVE",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163216",
            "telephone_number": "419-693-4444",
            "fax_number": "419-697-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO VISION OF TOLEDO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "419-693-4444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2673085",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2190657",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4559068",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optivue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oregon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.