Muirfield Eye Care Center, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OH3707 Issued in OH

Legal business name

MUIRFIELD EYE CARE CENTER, INC.

Practice address

6105 Memorial Dr
Dublin, OH 43017-9000

Phone

(614) 793-8440

Fax

(614) 793-8383

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John F Fanning, O.D.NPI 1245378967

Title

President

Phone

(614) 793-8440

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• JOHN F. FANNING, O.D. Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 9

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

• John F Fanning, O.D.

  • Optometrist
  • Dublin, OH
  • NPI 1245378967
  Medicare reassignment Care Compare group NPD Authorized official
• Kayla Hitchins, OD

  • Optometrist
  • Dublin, OH
  • NPI 1407478290
  Medicare reassignment Care Compare group NPD
• Rochelle M. Wagner, OD

  • Optometrist
  • Gahanna, OH
  • NPI 1699839845
  Medicare reassignment Care Compare group NPD
• Ame Nicole Cline, OD

  • Optometrist
  • Delaware, OH
  • NPI 1013170380
  Medicare reassignment NPD
• Christine Marie Flemming, OD

  • Optometrist
  • Delaware, OH
  • NPI 1740928381
  Medicare reassignment NPD
• Rachel C Mancini-Grimm, O.D.

  • Optometrist
  • Gahanna, OH
  • NPI 1396887972
  NPD (past)
• Toni Lynn Reed, O.D.

  • Optometrist
  • Powell, OH
  • NPI 1649319229
  NPD (past)
• Kimberly S Theis, O.D.

  • Optometrist
  • Powell, OH
  • NPI 1871512731
  NPD (past)
• David Matthew Webster, O.D.

  • Optometrist
  • Powell, OH
  • NPI 1164459731
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1629117221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 MEMORIAL DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430179000",
            "telephone_number": "614-793-8440",
            "fax_number": "614-793-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 MEMORIAL DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430179000",
            "telephone_number": "614-793-8440",
            "fax_number": "614-793-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUIRFIELD EYE CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "FANNING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-793-8440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH3707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "OH3707",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "299624571-001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "23837",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHILED",
            "identifier": "000000119325",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0809637",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2200157",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOHN F. FANNING, O.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Mowery
• Hala Mualla, MD
• Dheeraj Muddasani, MD
• Melissa Lynne Mueller, D.O
• Sarah Foor Muha, OD
• Sindhu Bhairavi Mukku, MD
• Lydia Muldoon, COUNSELOR TRAINEE
• Exzhane Mull
• Joshua Muller
• Kari Nicole Mullins, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.