Organization Active NPI

Sharonville Evendale Eyecare Center, Inc

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1699872887
Registry record updated May 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4672/T1447 Issued in OH
Legal business name
SHARONVILLE EVENDALE EYECARE CENTER, INC
Practice address
10675 McSwain Dr
Cincinnati, OH 45241-3168
Phone
(513) 536-2304
Fax
(513) 563-2356
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2008

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

Authorized official

Name
Brenda S. Murray, O.D.NPI 1780652925
Title
President/Owner
Phone
(513) 563-2304

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 4672/T1447 OH Primary

Addresses

Primary practice location

10675 McSwain Dr
Cincinnati, OH 45241-3168

Mailing address

10675 McSwain Dr
Cincinnati, OH 45241-3168
Phone (513) 536-2304

Other identifiers 1

IdentifierTypeStateIssuer
0771590001OtherOHDMERC SUPPLIER NUMBER

Other names 1

  • S.E.E., Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080619000003 OH Part B Supplier - Clinic/Group Practice 9133290133 Receives reassigned benefits from 1 practitioner
Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory

Locations

10675 McSwain Dr
Cincinnati, OH 45241
Phone (513) 536-2304

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210982400000",
    "number": "1699872887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10675 MCSWAIN DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452413168",
            "telephone_number": "513-536-2304",
            "fax_number": "513-563-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10675 MCSWAIN DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452413168",
            "telephone_number": "513-536-2304",
            "fax_number": "513-563-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARONVILLE EVENDALE EYECARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-05-17",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "513-563-2304",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4672/T1447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC SUPPLIER NUMBER",
            "identifier": "0771590001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S.E.E., Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2008; 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.