Mid Ohio Neuro Ophthalmology and Neuro Otology Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

35082933 Issued in OH

Legal business name

MID OHIO NEURO OPHTHALMOLOGY AND NEURO OTOLOGY INC

Practice address

751 Forest Ave
Zanesville, OH 43701-2868

Phone

(740) 452-4053

Fax

(740) 452-4580

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Walter Jensen, MD JDNPI 1083741961

Title

Owner Provider

Phone

(740) 452-4053

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Robert Walter Jensen, MD

  • Neuro-ophthalmology Physician
  • Lexington, KY
  • NPI 1083741961

  Neurology

  NPD Authorized official

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1710102751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 FOREST AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012868",
            "telephone_number": "740-452-4053",
            "fax_number": "740-452-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 FOREST AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012868",
            "telephone_number": "740-452-4053",
            "fax_number": "740-452-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID OHIO NEURO OPHTHALMOLOGY AND NEURO OTOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "740-452-4053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD JD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35082933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2144807",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eva B Meszaros, DDS
• Tracy Ann Metz
• Dinah F Meyer, PHD
• Kimber Meyers, LMT
• Kimberly Meyers, FNP-C
• Mid-Ohio Behavioral Health LLC
• Mid-Ohio Behavioral Health LLC
• Gary Mildenstein, CDCA
• Kevin Miller, M.D.
• Melissa Lynn Miller

• Neurology Physician in Zanesville, OH
• Providers in Zanesville, OH by specialty
• Neurology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.