Individual provider Active NPI

Janice Paynowski, O.D.

  • Optometrist
  • Fairlawn, OH
National Provider Identifier
1669548152
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3885 Issued in OH
Practice address
3265 W Market St
Fairlawn, OH 44333-3337
Phone
(330) 697-4748
Fax
(866) 425-2239
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 3885 OH
Optometrist 152W00000X 3885 OH Primary

Addresses

Primary practice location

3265 W Market St
Fairlawn, OH 44333-3337

Mailing address

PO Box 880
Hudson, OH 44236-5880
Phone (330) 697-4748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050711000735 OH Practitioner - Optometry 9537195599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University College of Homeopathic Medicine, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Summit Family Vision LLCGroup PAC ID 4688905003, 4 clinicians

Practice addresses (Care Compare)

3265 W Market St
Suite 294B
Fairlawn, OH 44333-3345
Phone (330) 836-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3885OHMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Richard E. Hults & Assoc., Inc. Optometrist Current Accepting new patients
Dr. Richard E Hults and Associates, Inc. Optometrist CurrentSince Jul 1, 1986 Accepting new patients
Dr. Richard E. Hults & Assoc., Inc Optometrist CurrentSince Jul 1, 1986 Accepting new patients

Locations

4157 Belden Village Mall
Canton, OH 44718
Phone (330) 422-4464

6801 Pearl Rd
Middleburg Heights, OH 44130
Phone (440) 845-3006

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1669548152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442365880",
            "telephone_number": "330-697-4748",
            "fax_number": "866-425-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 W MARKET ST",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333337",
            "telephone_number": "330-697-4748",
            "fax_number": "866-425-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNOWSKI",
        "first_name": "JANICE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OH",
            "license": "3885",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.