Individual provider Active NPI

Jeffrey James Genos, OD

  • Optometrist
  • Independence, OH
National Provider Identifier
1679784292
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4195 Issued in OH
Practice address
6500 Rockside Rd
Suite100
Independence, OH 44131-2368
Phone
(216) 901-0599
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4195 OH Primary

Addresses

Primary practice location

6500 Rockside Rd
Suite100
Independence, OH 44131-2368

Mailing address

6500 Rockside Rd
Suite100
Independence, OH 44131-2368
Phone (216) 901-0599

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
I20131230000760 OH Practitioner - Optometry 1557598208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family First Vision Care LLCGroup PAC ID 2769709179, 25 clinicians

Practice addresses (Care Compare)

3893 Medina Rd
Akron, OH 44333-4547
Phone (330) 666-0191

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4195OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Vision Care, LLC Optometrist CurrentSince Jan 8, 2025 Accepting new patients

Locations

3893 Medina Rd
Akron, OH 44333
Phone (330) 666-0191

1251 N Bridge St
Ste N
Chillicothe, OH 45601
Phone (740) 212-3810

1150 Polaris Pkwy
Columbus, OH 43240
Phone (614) 433-7357

316 S Hamilton Rd
Gahanna, OH 43230

368 S Hamilton Rd
Gahanna, OH 43230
Phone (614) 478-5030

7855 W Ridgewood Dr
Parma, OH 44129

7855 W Ridgewood Dr
#823
Parma, OH 44129
Phone (440) 482-5772

29994 Detroit Rd
Westlake, OH 44145
Phone (440) 734-1030

Organizations & group practices 1

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1679784292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 ROCKSIDE RD",
            "address_2": "SUITE100",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312368",
            "telephone_number": "216-901-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 ROCKSIDE RD",
            "address_2": "SUITE100",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312368",
            "telephone_number": "216-901-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENOS",
        "first_name": "JEFFREY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.