NPIMap

Individual provider Active NPI

Trey Bain Myers, OPTICIAN/CL OPTICIAN

  • Contact Lens Fitter
  • Toledo, OH
National Provider Identifier
1528431707
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Contact Lens FitterTaxonomy code 156FC0801X
License
APP. 14766 Issued in OH
Practice address
5464 Dorr Street
#6
Toledo, OH 43615-3636
Phone
(419) 280-2833
NPI assigned
Nov 10, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contact Lens Fitter 156FC0801X APP. 14766 OH Primary
Optician 156FX1800X APP. 14766 OH

Addresses

Primary practice location

5464 Dorr Street
#6
Toledo, OH 43615-3636

Mailing address

5464 Dorr Street
#6
Toledo, OH 43615-3636
Phone (419) 280-2833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APP. 14766OHMDContact Lens Fitter

NPI Registry JSON

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1528431707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5464 DORR STREET",
            "address_2": "#6",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436153636",
            "telephone_number": "419-280-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5464 DORR STREET",
            "address_2": "#6",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436153636",
            "telephone_number": "419-280-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "TREY",
        "middle_name": "BAIN",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN/CL OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-10",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FC0801X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "OH",
            "license": "APP. 14766",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "APP. 14766",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.