Organization Active NPI

Findlay Optometry Clinic Inc

  • Optometrist
  • Findlay, OH
National Provider Identifier
1679694152
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4314T655 Issued in OH
Legal business name
FINDLAY OPTOMETRY CLINIC INC
Practice address
123 W Sandusky St
Findlay, OH 45840-3215
Phone
(419) 422-3472
Fax
(419) 422-3786
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Authorized official

Name
Dr. Fred W Skulina, ODNPI 1083701593
Title
President
Phone
(419) 422-3472

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4314T655 OH Primary

Addresses

Primary practice location

123 W Sandusky St
Findlay, OH 45840-3215

Mailing address

123 W Sandusky St
Findlay, OH 45840-3215
Phone (419) 422-3472

Other identifiers 1

IdentifierTypeStateIssuer
0381439MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050922000042 OH Part B Supplier - Clinic/Group Practice 9335173012 Receives reassigned benefits from 7 practitioners
Practice locations: Tiffin, OH; Willard, OH; Findlay, OH; Fostoria, OH

National Provider Directory

National Provider Directory

Locations

123 W Sandusky St
Findlay, OH 45840
Phone (419) 422-3472

314 W Lytle St
Fostoria, OH 44830
Phone (419) 435-3323

478 W Market St
Tiffin, OH 44883
Phone (419) 447-5616

2845 S State Route 100
Tiffin, OH 44883
Phone (419) 396-6812

Practitioners & affiliated clinicians

Practitioners 9

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1679694152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 W SANDUSKY ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458403215",
            "telephone_number": "419-422-3472",
            "fax_number": "419-422-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W SANDUSKY ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458403215",
            "telephone_number": "419-422-3472",
            "fax_number": "419-422-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FINDLAY OPTOMETRY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "SKULINA",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-422-3472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4314T655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0381439",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Findlay, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.