Organization Active NPI

Family Vision Care of Alliance, Inc.

  • Optometrist
  • Alliance, OH
National Provider Identifier
1609924398
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3508 Issued in OH
Legal business name
FAMILY VISION CARE OF ALLIANCE, INC.
Practice address
1370 S Sawburg Ave
Suite B
Alliance, OH 44601-5761
Phone
(330) 821-5367
Fax
(330) 821-1981
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Dr. Rick Robenstine, O.D.NPI 1134197288
Title
President
Phone
(330) 821-5367

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 3508 OH Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 4975 OH

Addresses

Primary practice location

1370 S Sawburg Ave
Suite B
Alliance, OH 44601-5761

Mailing address

1370 S Sawburg Ave
Suite B
Alliance, OH 44601-5761
Phone (330) 821-5367

Other identifiers 1

IdentifierTypeStateIssuer
0215547MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031226000139 OH Part B Supplier - Clinic/Group Practice 7315845534 Receives reassigned benefits from 3 practitioners
Practice locations: Alliance, OH
O20100930049232 OH DME Supplier - Physician - OptometristDME Supplier - Optician 7315845534 Practice locations: Alliance, OH

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Family Vision Care of Alliance Inc1370 S Sawburg Ave, Alliance, OH 44601-5761(330) 821-5367 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 2004

National Provider Directory

National Provider Directory

Locations

670 W State St
Ste B2
Alliance, OH 44601
Phone (216) 821-5367

1370 S Sawburg Ave
Ste B
Alliance, OH 44601
Phone (330) 821-5367

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1609924398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 S SAWBURG AVE",
            "address_2": "SUITE B",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446015761",
            "telephone_number": "330-821-5367",
            "fax_number": "330-821-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 S SAWBURG AVE",
            "address_2": "SUITE B",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446015761",
            "telephone_number": "330-821-5367",
            "fax_number": "330-821-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY VISION CARE OF ALLIANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "ROBENSTINE",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-821-5367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3508",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4975",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0215547",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.