Promedica Central Physicians LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PROMEDICA CENTRAL PHYSICIANS LLC

Doing business as

ProMedica Physicians Eye Care

Practice address

435 S Hawley St
Toledo, OH 43609-2344

Phone

(419) 242-3937

Fax

(419) 776-1020

NPI assigned

Dec 10, 2014

Last updated

Dec 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy L Dwyer

Title

Credentialing Supervisor

Phone

(419) 824-7334

Specialties & licenses 2

Addresses

Other names 1

• ProMedica Physicians Eye Care Doing business as

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1689072407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 S HAWLEY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436092344",
            "telephone_number": "419-242-3937",
            "fax_number": "419-776-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 S HAWLEY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436092344",
            "telephone_number": "419-242-3937",
            "fax_number": "419-776-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDICA CENTRAL PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "419-824-7334"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedica Physicians Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Promedica Central Physicians (Westgate Medical Group)
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• Promedica Central Physicians LLC (Jake P. Heiney MD)
• Promedica Central Physicians LLC (Cerilli & Schweid)
• Promedica Central Physicians, LLC (Toledo Children's Heart Center)
• Promedica Central Physicians, LLC (Karl J Beer, MD)
• Promedica Central Physicians, LLC (Children's Surgical Services of Northwest Ohio)
• Promedica Central Physicians, LLC (Woodley Park Internal Medicine)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.