Eye Institute of Northwestern Ohio, Inc.

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

0003AS Issued in OH

Legal business name

EYE INSTITUTE OF NORTHWESTERN OHIO, INC.

Practice address

3509 Briarfield Blvd
Maumee, OH 43537-9383

Phone

(419) 865-3866

Fax

(419) 865-3451

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Sharon E Duchin

Title

Administrator

Phone

(419) 865-3866

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1750335154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 BRIARFIELD BLVD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379383",
            "telephone_number": "419-865-3866",
            "fax_number": "419-865-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 BRIARFIELD BLVD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379383",
            "telephone_number": "419-865-3866",
            "fax_number": "419-865-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE INSTITUTE OF NORTHWESTERN OHIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "DUCHIN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "419-865-3866",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "OH",
            "license": "0003AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0687832",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin Evans, RBT
• Darrell Kennedy Evans Jr., M.D.
• Alexa Evarts, RBT
• Bradley Paul Everly, MD
• James A Ewry, MD
• Christine A. Fair, LPC, PHD
• Kevin Falk
• Fallen Timbers Family Eye Care
• Fallen Timbers Family Physicians
• Fallen Timbers Internal Medicine, LLC

• Ophthalmologic Surgery Clinic/Center in Maumee, OH
• Providers in Maumee, OH by specialty
• Ophthalmologic Surgery Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.