NPIMap

Organization Active NPI

Mobile Medical Inc

Doing business as OnSight Health Care

  • Optometrist
  • Perrysburg, OH
National Provider Identifier
1689620015
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4665T1440 Issued in OH
Legal business name
MOBILE MEDICAL INC
Doing business as
OnSight Health Care
Practice address
740 Commerce Dr Ste a
Perrysburg, OH 43551-5276
Phone
(502) 244-2420
Fax
(502) 996-8282
NPI assigned
May 26, 2006
Last updated
Apr 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Authorized official

Name
Dr. Andrew D Feltz, ODNPI 1225037393
Title
Clinical Director
Phone
(248) 528-1981

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
Optometrist 152W00000X 4665T1440 OH Primary

Addresses

Primary practice location

740 Commerce Dr Ste a
Perrysburg, OH 43551-5276

Mailing address

12910 Shelbyville Rd Ste 300
Louisville, KY 40243-2404
Phone (502) 813-4415

Other identifiers 2

IdentifierTypeStateIssuer
2292077MedicaidOH
CK5026OtherOHRAILROAD MEDICARE PIN NUMBER

Other names 1

  • OnSight Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040730000013 OH Part B Supplier - Clinic/Group Practice 5890765481 Receives reassigned benefits from 165 practitioners
4 other NPIs on this enrollment

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mobile Medical Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

575 White Pond Dr
Ste A
Akron, OH 44320
Phone (330) 835-1629

740 Commerce Dr
Ste A
Perrysburg, OH 43551
Phone 24852821166

110 Polaris Pkwy
Ste 220
Westerville, OH 43082
Phone (614) 895-7280

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Gillette Nursing HomeWarren, OH, CCN 366129 Skilled nursing facility Adp of the SNF Jan 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 181

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.

View all 181

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1689620015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12910 SHELBYVILLE RD STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432404",
            "telephone_number": "502-813-4415",
            "fax_number": "502-996-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 COMMERCE DR STE A",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515276",
            "telephone_number": "502-244-2420",
            "fax_number": "502-996-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "FELTZ",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "248-528-1981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4665T1440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2292077",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN NUMBER",
            "identifier": "CK5026",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OnSight Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OnSight Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.