Independent Doctors of Optometry, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3822 Issued in OH

Legal business name

INDEPENDENT DOCTORS OF OPTOMETRY, LLC

Practice address

2687 N Memorial Dr
Lancaster, OH 43130-1670

Phone

(740) 687-0530

NPI assigned

Mar 1, 2012

Organization subpart

No

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

Authorized official

Name

Daniel J. Rozzo, O.D.NPI 1487624789

Title

Optometrist

Phone

(614) 893-1165

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

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

• Daniel J Rozzo, O.D.

  • Optometrist
  • Lancaster, OH
  • NPI 1487624789
  Medicare reassignment NPD Authorized official
• Elena Micevska, O.D.

  • Optometrist
  • Reynoldsburg, OH
  • NPI 1962871020
  Medicare reassignment NPD

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1568736023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 KENWOOD LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432204122",
            "telephone_number": "614-893-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2687 N MEMORIAL DR",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301670",
            "telephone_number": "740-687-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT DOCTORS OF OPTOMETRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "ROZZO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "614-893-1165",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norma Hysell-Snyder
• Megan R Ihle
• Nimrah Hassan Imam, DO
• Kaitlyn Jane Inboden
• Independence Home Health Care LLC
• Individual Practitioner
• Infinity Care Health Services LLC
• Ingham Family Wellness Center, LLC (Hometown Integrated Medicine)
• Dillon James Ingham, DC
• Rita M Ingram, CNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.