Organization Active NPI

Wadsworth Eye Clinic, Inc

  • Ophthalmology Physician
  • Wadsworth, OH
National Provider Identifier
1669640124
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35085999 Issued in OH
Legal business name
WADSWORTH EYE CLINIC, INC
Practice address
1197 High St Ste 106
Wadsworth, OH 44281-8282
Phone
(330) 247-2480
Fax
(330) 336-0099
NPI assigned
Feb 18, 2008
Last updated
May 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Authorized official

Name
Dr. Rachel A Biedenbach, M.D.NPI 1225112279
Title
Owner
Phone
(330) 247-2480

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
Optometrist 152W00000X 5652 OH
Ophthalmology Physician 207W00000X 35085999 OH Primary

Addresses

Primary practice location

1197 High St Ste 106
Wadsworth, OH 44281-8282

Mailing address

1197 High St Ste 106
Wadsworth, OH 44281-8282
Phone (330) 247-2480

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080428000668 OH Part B Supplier - Clinic/Group Practice 4183702301 Receives reassigned benefits from 1 practitioner
Practice locations: Wadsworth, OH
O20100930060924 OH DME Supplier - Physician - Ophthalmology 4183702301 Practice locations: Wadsworth, OH

National Provider Directory

National Provider Directory

Locations

1197 High St
Ste 106
Wadsworth, OH 44281
Phone (330) 247-2480

195 Wadsworth Rd
Ste 304
Wadsworth, OH 44281
Phone (330) 247-2480

Interoperability endpoints

  • Direct secure messaging: rbiedenbach@wadseye.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 2

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": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1669640124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1197 HIGH ST STE 106",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818282",
            "telephone_number": "330-247-2480",
            "fax_number": "330-336-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1197 HIGH ST STE 106",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818282",
            "telephone_number": "330-247-2480",
            "fax_number": "330-336-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADSWORTH EYE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "BIEDENBACH",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-247-2480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5652",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35085999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadsworth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.