Roholt Vision Institute Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

ROHOLT VISION INSTITUTE INC

Practice address

25 Manor Hill Dr
Canfield, OH 44406-1596

Phone

(330) 702-8755

Fax

(330) 702-8759

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Diane Bontrager

Title

Administrator

Phone

(330) 305-2200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Roholt Vision Instititute Inc

  • Ophthalmology Physician
  • Alliance, OH
  • NPI 1588609978

  O20040616000000

  Same enrollment
• Roholt Vision Institute Inc

  • Ophthalmology Physician
  • Canton, OH
  • NPI 1609818244

  O20040616000000

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Roholt Vision Instititute Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Roholt Vision Instititute Inc

  • Ophthalmology Physician
  • Alliance, OH
  • NPI 1588609978
  NPD tax ID
• Roholt Vision Instititute Inc

  • Ophthalmology Physician
  • Youngstown, OH
  • NPI 1821778515
  NPD tax ID
• Roholt Vision Institute

  • Ophthalmology Physician
  • Boardman, OH
  • NPI 1205871621
  NPD tax ID
• Roholt Vision Institute Inc

  • Ophthalmology Physician
  • Canton, OH
  • NPI 1609818244
  NPD tax ID

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meagan O'Haire Celmer, M.D.

  • Ophthalmology Physician
  • Canton, OH
  • NPI 1417103862
  Medicare reassignment Care Compare group NPD
• Bradley Robert Kubis, OD

  • Optometrist
  • Boardman, OH
  • NPI 1851829584
  Medicare reassignment Care Compare group NPD
• Brian M Mathie, O.D.

  • Optometrist
  • Canton, OH
  • NPI 1013953116
  Medicare reassignment Care Compare group NPD
• Philip C Roholt, M.D.

  • Ophthalmology Physician
  • Canton, OH
  • NPI 1679515282
  Medicare reassignment Care Compare group NPD
• Thomas A. Wohl, MD

  • Ophthalmology Physician
  • North Canton, OH
  • NPI 1538361159
  Medicare reassignment Care Compare group NPD
• Jason M Young, M.D.

  • Ophthalmology Physician
  • North Canton, OH
  • NPI 1679004121
  Medicare reassignment Care Compare group NPD
• Pankaj Chand Gupta, M.D.

  • Ophthalmology Physician
  • North Canton, OH
  • NPI 1609929371
  Medicare reassignment NPD

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1700819455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5890 MAYFAIR RD",
            "city": "N CANTON",
            "state": "OH",
            "postal_code": "447201547",
            "telephone_number": "330-305-2200",
            "fax_number": "330-305-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MANOR HILL DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061596",
            "telephone_number": "330-702-8755",
            "fax_number": "330-702-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROHOLT VISION INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "BONTRAGER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-305-2200"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George William Richter Jr., OD
• Kathrin Cassandra Ritz
• Marissa Rivera
• Robert D Lewis MD LLC
• Rachael Robertson, M.A. CCC-SLP
• Jennifer Lynn Romeo, LSW
• Marybeth Filisky Romeo, PT
• Melinda Ann Ross, DDS
• Elisabeth Rothbauer
• Ashley M Rowe

• Ophthalmology Physician in Canfield, OH
• Providers in Canfield, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.