NPIMap

Organization Active NPI

Ohio Eye Optometric, LLC

Doing business as Hometown Eye Care

  • Corneal and Contact Management Optometrist
  • Mount Gilead, OH
National Provider Identifier
1619018090
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
3826 Issued in OH
Legal business name
OHIO EYE OPTOMETRIC, LLC
Doing business as
Hometown Eye Care
Practice address
58 W High St
Mount Gilead, OH 43338-1213
Phone
(419) 947-8330
Fax
(419) 947-8355
NPI assigned
Feb 9, 2007
Last updated
Mar 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Authorized official

Name
Jonathan M Skarie, MDNPI 1215254917
Title
Owner
Phone
(419) 756-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 3826 OH Primary

Addresses

Primary practice location

58 W High St
Mount Gilead, OH 43338-1213

Mailing address

58 W High St
Mount Gilead, OH 43338-1213
Phone (419) 947-8330

Other identifiers 1

IdentifierTypeStateIssuer
0627101MedicaidOH

Other names 1

  • Hometown Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140320001545 OH DME Supplier - Physician - OptometristDME Supplier - Optician 7012144876 Practice locations: Mount Gilead, OH

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Ohio Eye Optometric LLC58 W High St, Mount Gilead, OH 43338-1213(419) 947-8330 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Nov 1, 2013

National Provider Directory

National Provider Directory
Tax ID family
Ohio Eye Optometric LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

58 W High St
Mount Gilead, OH 43338
Phone (419) 756-8000

38 Sandusky St
Plymouth, OH 44865
Phone (419) 687-6791

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 10

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1619018090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 W HIGH ST",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381213",
            "telephone_number": "419-947-8330",
            "fax_number": "419-947-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 W HIGH ST",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381213",
            "telephone_number": "419-947-8330",
            "fax_number": "419-947-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO EYE OPTOMETRIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "SKARIE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-756-8000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OH",
            "license": "3826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0627101",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hometown Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Gilead, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.