Organization Active NPI

Premier Health Specialists Inc

Doing business as Ohio Eyecare Institute

  • Durable Medical Equipment & Medical Supplies
  • Dayton, OH
National Provider Identifier
1710223763
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PREMIER HEALTH SPECIALISTS INC
Doing business as
Ohio Eyecare Institute
Practice address
105 Sugar Camp Cir
Ste 200
Dayton, OH 45409-1962
Phone
(937) 222-3937
Fax
(937) 496-3595
NPI assigned
Dec 19, 2012
Last updated
May 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Jonathan M Schwartz, MD MBA
Title
Ceo/President
Phone
(937) 499-9015

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Ophthalmology Physician 207W00000X NU

Addresses

Primary practice location

105 Sugar Camp Cir
Ste 200
Dayton, OH 45409-1962

Mailing address

105 Sugar Camp Cir
Ste 200
Dayton, OH 45409-1962
Phone (937) 222-3937

Other identifiers 1

IdentifierTypeStateIssuer
0077398MedicaidOH

Other names 1

  • Ohio Eyecare Institute Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1710223763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SUGAR CAMP CIR",
            "address_2": "STE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454091962",
            "telephone_number": "937-222-3937",
            "fax_number": "937-496-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SUGAR CAMP CIR",
            "address_2": "STE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454091962",
            "telephone_number": "937-222-3937",
            "fax_number": "937-496-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "937-499-9015",
        "authorized_official_credential": "MD MBA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0077398",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ohio Eyecare Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.