Active NPI
Mehan Ophthalmology, Inc.
- Ophthalmology Physician
- Dayton, OH
National Provider Identifier
1750523874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 093450O
- Legal business name
- MEHAN OPHTHALMOLOGY, INC.
- Practice address
- 1020 Woodman Dr
Suite 200
Dayton, OH 45432-1446 - Phone
- (937) 258-4570
- Fax
- (937) 258-4573
- NPI assigned
- Apr 3, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maneesh Kumar Mehan, M.D.
- Title
- President
- Phone
- (937) 258-4570
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 093450O | OH | Primary |
Addresses
Primary practice location
1020 Woodman Dr
Suite 200
Dayton, OH 45432-1446
Mailing address
1020 Woodman Dr
Suite 200
Dayton, OH 45432-1446
Phone (937) 258-4570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2983786 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1020 Woodman Dr
Ste 200
Dayton, OH 45432
Phone (937) 258-4570
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Dayton, OH
- NPI 1386751949
-
- Optometrist
- Dayton, OH
- NPI 1740784537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265760000000",
"number": "1750523874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 WOODMAN DR",
"address_2": "SUITE 200",
"city": "DAYTON",
"state": "OH",
"postal_code": "454321446",
"telephone_number": "937-258-4570",
"fax_number": "937-258-4573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 WOODMAN DR",
"address_2": "SUITE 200",
"city": "DAYTON",
"state": "OH",
"postal_code": "454321446",
"telephone_number": "937-258-4570",
"fax_number": "937-258-4573"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEHAN OPHTHALMOLOGY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-03",
"last_updated": "2010-02-10",
"status": "A",
"authorized_official_last_name": "MEHAN",
"authorized_official_first_name": "MANEESH",
"authorized_official_middle_name": "KUMAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "937-258-4570",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "OH",
"license": "093450O",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2983786",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
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 Feb 10, 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.