Organization Active NPI

Renuvision, Inc.

Doing business as Excellence in EyeCare

  • Specialist
  • Medina, OH
National Provider Identifier
1588092621
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35092551 Issued in OH
Legal business name
RENUVISION, INC.
Doing business as
Excellence in EyeCare
Practice address
3609 Medina Rd
Medina, OH 44256-8181
Phone
(330) 722-1313
Fax
(330) 723-3003
NPI assigned
Oct 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Authorized official

Name
Andrew A Esposito, M.D.NPI 1962618249
Title
Owner / Ophthalmologist
Phone
(330) 722-1313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 4976 OH
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 35048832 OH
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 35092551 OH Primary
Durable Medical Equipment & Medical Supplies 332B00000X OH

Addresses

Primary practice location

3609 Medina Rd
Medina, OH 44256-8181

Mailing address

3609 Medina Rd
Medina, OH 44256-8181
Phone (330) 722-1313

Other identifiers 3

IdentifierTypeStateIssuer
0513797MedicaidOH
2876222MedicaidOH
2931582MedicaidOH

Other names 1

  • Excellence in EyeCare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140106000653 OH Part B Supplier - Clinic/Group Practice 0345478970 Receives reassigned benefits from 3 practitioners
Practice locations: Medina, OH; Middleburg Heights, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1588092621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 MEDINA RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568181",
            "telephone_number": "330-722-1313",
            "fax_number": "330-723-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 MEDINA RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568181",
            "telephone_number": "330-722-1313",
            "fax_number": "330-723-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENUVISION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "ESPOSITO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER / OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "330-722-1313",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4976",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35048832",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35092551",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0513797",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2876222",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2931582",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excellence in EyeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.