Organization Active NPI

Eye to Eye Visioncare

  • Optometrist
  • New Philadelphia, OH
National Provider Identifier
1689144149
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE TO EYE VISIONCARE
Practice address
400 Mill Ave SE Ste 329
New Philadelphia, OH 44663-3876
Phone
(330) 339-8788
NPI assigned
Nov 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Authorized official

Name
Dr. Maggie A Herman, ODNPI 1285037135
Title
Optometrist/Owner
Phone
(330) 339-8788

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 Primary

Addresses

Primary practice location

400 Mill Ave SE Ste 329
New Philadelphia, OH 44663-3876

Mailing address

400 Mill Ave SE Ste 329
New Philadelphia, OH 44663-3876
Phone (330) 339-8788

Other identifiers 2

IdentifierTypeStateIssuer
3259OtherOHSTATE LICENSE
6343OtherOHSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190321003016 OH Part B Supplier - Clinic/Group Practice 5193065514 Receives reassigned benefits from 2 practitioners
Practice locations: New Philadelphia, OH

National Provider Directory

National Provider Directory

Locations

400 Mill Ave SE
Ste 329
New Philadelphia, OH 44663
Phone (330) 339-8787

Practitioners & affiliated clinicians

Practitioners 2

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": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1689144149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MILL AVE SE STE 329",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446633876",
            "telephone_number": "330-339-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MILL AVE SE STE 329",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446633876",
            "telephone_number": "330-339-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE TO EYE VISIONCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "330-339-8788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3259",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6343",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Philadelphia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.