NPIMap

Organization Active NPI

Akron Pediatric Ophthalmology and Ophthalmic Plastic Surgery, Inc

  • Specialist
  • Akron, OH
National Provider Identifier
1710062013
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35035797 Issued in OH
Legal business name
AKRON PEDIATRIC OPHTHALMOLOGY AND OPHTHALMIC PLASTIC SURGERY, INC
Practice address
215 West Bowery St Level II
Akron, OH 44308-1062
Phone
(330) 535-8000
Fax
(330) 553-2121
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Authorized official

Name
Robert Alan Burnstine, MD
Title
President
Phone
(330) 535-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35035797 OH Primary

Addresses

Primary practice location

215 West Bowery St Level II
Akron, OH 44308-1062

Mailing address

215 West Bowery St Level II
Akron, OH 44308-1062
Phone (330) 535-8000

Other identifiers 1

IdentifierTypeStateIssuer
0222075MedicaidOH

National Provider Directory

National Provider Directory

Locations

215 W Bowery St
Akron, OH 44308
Phone (330) 543-4488

300 Locust St
Ste 490
Akron, OH 44302
Phone (330) 535-8000

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1710062013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 WEST BOWERY ST LEVEL II",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081062",
            "telephone_number": "330-535-8000",
            "fax_number": "330-553-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 WEST BOWERY ST LEVEL II",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081062",
            "telephone_number": "330-535-8000",
            "fax_number": "330-553-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKRON PEDIATRIC OPHTHALMOLOGY AND OPHTHALMIC PLASTIC SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "BURNSTINE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-535-8000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35035797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0222075",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.