Individual provider Active NPI

James P Raymondi, O.D

  • Optometrist
  • North Canton, OH
National Provider Identifier
1548353550
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3960 Issued in OH
Practice address
1981 E Maple St
North Canton, OH 44720-3333
Phone
(330) 966-8201
Fax
(330) 966-8274
NPI assigned
Oct 2, 2006
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3960 OH Primary

Addresses

Primary practice location

1981 E Maple St
North Canton, OH 44720-3333

Mailing address

1981 E Maple St
North Canton, OH 44720-3333
Phone (330) 966-8201

Other identifiers 1

IdentifierTypeStateIssuer
RA0669085MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090311000352 OH Practitioner - Optometry 2961425798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Ohio Professional PCGroup PAC ID 7618207036, 80 clinicians

Practice addresses (Care Compare)

1981 E Maple St
North Canton, OH 44720-3333
Phone (330) 966-8201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3960OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Ohio Professional PC Optometrist CurrentSince Oct 29, 2021 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Oct 29, 2021 Accepting new patients
Ty J Miller OD Inc Optometrist Past Accepting new patients

Locations

1981 E Maple St
North Canton, OH 44720
Phone (330) 966-8201

1981 E Maple St
#950
North Canton, OH 44720

33541 Aurora Rd
Solon, OH 44139
Phone (440) 248-2020

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1548353550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 E MAPLE ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447203333",
            "telephone_number": "330-966-8201",
            "fax_number": "330-966-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 E MAPLE ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447203333",
            "telephone_number": "330-966-8201",
            "fax_number": "330-966-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMONDI",
        "first_name": "JAMES",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RA0669085",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

Verify at the official NPI Registry.