Active NPI
Eye Care Associates, Inc
- Ophthalmology Physician
- Youngstown, OH
National Provider Identifier
1710063540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- EYE CARE ASSOCIATES, INC
- Practice address
- 3155 Canfield Rd
Youngstown, OH 44511-2880 - Phone
- (330) 746-7691
- Fax
- (330) 743-8368
- NPI assigned
- Oct 27, 2006
- Organization subpart
- Yes
- Parent organization
- EYE CARE ASSOCIATES, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John P Aey, MD
- Title
- Vice President
- Phone
- (330) 746-7691
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
3155 Canfield Rd
Youngstown, OH 44511-2880
Mailing address
10 Dutton Dr
Youngstown, OH 44502-1818
Phone (330) 746-7691
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9331600 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091222000146 | OH | Part B Supplier - Clinic/Group Practice | 0042350118 |
Receives reassigned benefits from 17 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Youngstown, OH; East Liverpool, OH; Warren, OH; Austintown, OH; Poland, OH |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Mark R Levine
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.
-
- Eyewear Supplier
- Poland, OH
- NPI 1144346008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1710063540",
"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": "3155 CANFIELD RD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445112880",
"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": "2006-10-27",
"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": "P",
"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": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9331600",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
- Daijanique Ewing
- Exousia Rehabilitative Services Inc.
- Expand Health Skilled at Home LLC
- Expand Health Skilled at Home LLC
- Eye Care Associates, Inc
- Onyinyechukwu Chimereogo Ezegwui, MD
- Michelle E. Ezell-Brown, CNA, PN
- Onyinyechi Christabelle Ezenagu
- Elizabeth Fabrizio, DNP, CRNA
- Kathryn Lorraine Faccini, MD
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.