NPIMap

Organization Active NPI

Cadiz Vision Center, LTD

  • Optometrist
  • Cadiz, OH
National Provider Identifier
1710179254
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4771 Issued in OH
Legal business name
CADIZ VISION CENTER, LTD
Practice address
143 W Market St
Cadiz, OH 43907-1106
Phone
(740) 942-4433
Fax
(740) 942-3897
NPI assigned
Aug 17, 2007
Last updated
Jan 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Dr. Jill Marie Barker, O.D.NPI 1023071123
Title
Owner
Phone
(740) 942-4433

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 4771 OH
Optometrist 152W00000X 4771 OH Primary

Addresses

Primary practice location

143 W Market St
Cadiz, OH 43907-1106

Mailing address

143 W Market St
Cadiz, OH 43907-1106
Phone (740) 942-4433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040223001198 OH Part B Supplier - Clinic/Group Practice 2163334798 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Dover, OH; Cadiz, OH

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1710179254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 W MARKET ST",
            "city": "CADIZ",
            "state": "OH",
            "postal_code": "439071106",
            "telephone_number": "740-942-4433",
            "fax_number": "740-942-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 W MARKET ST",
            "city": "CADIZ",
            "state": "OH",
            "postal_code": "439071106",
            "telephone_number": "740-942-4433",
            "fax_number": "740-942-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADIZ VISION CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-942-4433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "4771",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadiz, OH

Sources for this page

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