Organization Active NPI

Eye Care Associates, Inc

  • Eyewear Supplier
  • Warren, OH
National Provider Identifier
1699175489
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYE CARE ASSOCIATES, INC
Practice address
4060 N River Rd
Warren, OH 44484-2426
Phone
(330) 746-7691
Fax
(330) 743-8368
NPI assigned
Aug 28, 2014
Organization subpart
Yes
Parent organization
EYE CARE ASSOCIATES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. John Patrick Aey, MD
Title
Vice President
Phone
(330) 746-7691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

4060 N River Rd
Warren, OH 44484-2426

Mailing address

10 Dutton Dr
Youngstown, OH 44502-1818
Phone (330) 746-7691

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141007000732 OH DME Supplier - Physician - OptometristDME Supplier - Optician 0042350118 Practice locations: Warren, OH

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Eye Care Associates Inc4060 N River Rd, Warren, OH 44484-2426(330) 746-7691 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 1989

National Provider Directory

National Provider Directory
Tax ID family
Mark R Levine7 organizations share this tax ID, including this one
Part of
Mark R Levine

Other organizations with this tax ID 6

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

Locations

1075 W Western Reserve Rd
Poland, OH 44514
Phone (330) 746-7691

2670 S Raccoon Rd
Ste 1
Youngstown, OH 44515
Phone (330) 746-7691

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1699175489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DUTTON DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021818",
            "telephone_number": "330-746-7691",
            "fax_number": "330-743-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 N RIVER RD",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842426",
            "telephone_number": "330-746-7691",
            "fax_number": "330-743-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE ASSOCIATES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE CARE ASSOCIATES, INC",
        "enumeration_date": "2014-08-28",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "AEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "330-746-7691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.