Organization Active NPI

Dr Michael O'Reilly & Associates LLC

  • Optometrist
  • Akron, OH
National Provider Identifier
1730366436
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3192 Issued in OH
Legal business name
DR MICHAEL O'REILLY & ASSOCIATES LLC
Practice address
2887 S Arlington Rd
Akron, OH 44312-4715
Phone
(330) 645-9560
Fax
(330) 645-1302
NPI assigned
Jan 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Authorized official

Name
Dr. Michael J O'Reilly, O.D.NPI 1639149222
Title
Owner
Phone
(330) 645-9780

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3192 OH Primary

Addresses

Primary practice location

2887 S Arlington Rd
Akron, OH 44312-4715

Mailing address

PO Box 13416
Akron, OH 44334-8816
Phone (330) 805-5111

Other identifiers 1

IdentifierTypeStateIssuer
2919837MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080307000027 OH Part B Supplier - Clinic/Group Practice 1355426990 Receives reassigned benefits from 1 practitioner
Practice locations: Akron, OH

National Provider Directory

National Provider Directory

Locations

2711 W Market St
Unit 13416
Fairlawn, OH 44334

2711 W Market St
#13416
Fairlawn, OH 44333

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1730366436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13416",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443348816",
            "telephone_number": "330-805-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2887 S ARLINGTON RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443124715",
            "telephone_number": "330-645-9560",
            "fax_number": "330-645-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MICHAEL O'REILLY & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "O'REILLY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-645-9780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2919837",
            "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 Jun 9, 2010; 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.