Active NPI
The Eye Clinic Inc
- Ophthalmology Physician
- North Canton, OH
National Provider Identifier
1689937229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- THE EYE CLINIC INC
- Practice address
- 1605 Portage Rd NW
North Canton, OH 44720 - Phone
- (330) 433-1350
- Fax
- (330) 305-5021
- NPI assigned
- Jun 19, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian E Wind, D.O,
- Title
- President Corporation
- Phone
- (330) 837-5191
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1605 Portage Rd NW
North Canton, OH 44720
Mailing address
3545 Lincoln Way E
Suite a
Massillon, OH 44646-8624
Phone (330) 837-5191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0935895 | Medicaid | OH |
Other names 1
- Perry Eye Clinic Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 2
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| The Eye Clinic Inc | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Corneal and Contact Management Optometrist
- Massillon, OH
- NPI 1285628412
-
- Ophthalmology Physician
- Massillon, OH
- NPI 1952920654
-
- Ophthalmology Physician
- North Canton, OH
- NPI 1609844612
-
- Ophthalmology Physician
- Massillon, OH
- NPI 1447215728
-
- Ophthalmology Physician
- Bluffton, SC
- NPI 1790052207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410220800000",
"number": "1689937229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 LINCOLN WAY E",
"address_2": "SUITE A",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446468624",
"telephone_number": "330-837-5191",
"fax_number": "330-837-0755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 PORTAGE RD NW",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "44720",
"telephone_number": "330-433-1350",
"fax_number": "330-305-5021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE EYE CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-19",
"last_updated": "2014-09-09",
"status": "A",
"authorized_official_last_name": "WIND",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT CORPORATION",
"authorized_official_telephone_number": "330-837-5191",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O,"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0935895",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Perry Eye Clinic Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in North Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.