Roholt Vision Institute Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

ROHOLT VISION INSTITUTE INC

Practice address

5890 Mayfair Rd
Canton, OH 44720-1547

Phone

(330) 305-2200

Fax

(330) 305-2210

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Diane Bontrager

Title

Administrator

Phone

(330) 305-2200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Roholt Vision Instititute Inc

  • Ophthalmology Physician
  • Alliance, OH
  • NPI 1588609978

  O20040616000000

  Same enrollment
• Roholt Vision Institute Inc

  • Ophthalmology Physician
  • Canfield, OH
  • NPI 1700819455

  O20040616000000

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Roholt Vision Instititute Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Roholt Vision Instititute Inc

  • Ophthalmology Physician
  • Alliance, OH
  • NPI 1588609978
  NPD tax ID
• Roholt Vision Instititute Inc

  • Ophthalmology Physician
  • Youngstown, OH
  • NPI 1821778515
  NPD tax ID
• Roholt Vision Institute

  • Ophthalmology Physician
  • Boardman, OH
  • NPI 1205871621
  NPD tax ID
• Roholt Vision Institute Inc

  • Ophthalmology Physician
  • Canfield, OH
  • NPI 1700819455
  NPD tax ID

Interoperability endpoints

• Direct secure messaging: mcelmer@roholt.intellechartdirect.net
• Direct secure messaging: proholt@roholt.intellechartdirect.net
• Direct secure messaging: twohl@roholt.intellechartdirect.net
• Direct secure messaging: jyoung@roholt.intellechartdirect.net
• Direct secure messaging: bmathie@roholt.intellechartdirect.net
• Direct secure messaging: bkubis@roholt.intellechartdirect.net

Practitioners 7

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

• Meagan O'Haire Celmer, M.D.

  • Ophthalmology Physician
  • Canton, OH
  • NPI 1417103862
  NPD
• Pankaj Chand Gupta, M.D.

  • Ophthalmology Physician
  • North Canton, OH
  • NPI 1609929371
  NPD
• Bradley Robert Kubis, OD

  • Optometrist
  • Boardman, OH
  • NPI 1851829584
  NPD
• Brian M Mathie, O.D.

  • Optometrist
  • Canton, OH
  • NPI 1013953116
  NPD
• Philip C Roholt, M.D.

  • Ophthalmology Physician
  • Canton, OH
  • NPI 1679515282
  NPD
• Thomas A. Wohl, MD

  • Ophthalmology Physician
  • North Canton, OH
  • NPI 1538361159
  NPD
• Jason M Young, M.D.

  • Ophthalmology Physician
  • North Canton, OH
  • NPI 1679004121
  NPD

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1609818244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5890 MAYFAIR RD",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447201547",
            "telephone_number": "330-305-2200",
            "fax_number": "330-305-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5890 MAYFAIR RD",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447201547",
            "telephone_number": "330-305-2200",
            "fax_number": "330-305-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROHOLT VISION INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "BONTRAGER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-305-2200"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2285192",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Briggit Renee Rogers
• Cortaise Adarry Rogers
• Victoria Rogers, RBT
• Kaitlin Rogerson, LPN
• Jon Michael Rogovin, DPM
• Philip C Roholt, M.D.
• Alishia Rohr
• Julie Rolik, OTR/L
• Rolling With Life LLC
• Joey Romar

• Ophthalmology Physician in Canton, OH
• Providers in Canton, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.