Envision Icare, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

5239/T2143 Issued in OH

Legal business name

ENVISION ICARE, INC

Practice address

111 Progress Dr
Bellevue, OH 44811-9094

Phone

(419) 484-8181

Fax

(419) 484-1033

NPI assigned

Oct 30, 2008

Last updated

Nov 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jenneth M Collins, O.D.NPI 1346211687

Title

Optometrist

Phone

(419) 484-8181

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 4

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.

• Jenneth Marie Collins, O.D.

  • Optometrist
  • Bellevue, OH
  • NPI 1346211687
  Medicare reassignment NPD Authorized official
• Julie E Hill, OD

  • Optometrist
  • Wellington, OH
  • NPI 1699865329
  Medicare reassignment NPD
• Tiffany Procaccini, O.D.

  • Optometrist
  • Willard, OH
  • NPI 1912136755
  NPD (past)
• David Trujillo, O.D.

  • Optometrist
  • Toledo, OH
  • NPI 1639443930
  NPD (past)

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1750534087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PROGRESS DR",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448119094",
            "telephone_number": "419-484-8181",
            "fax_number": "419-484-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PROGRESS DR",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448119094",
            "telephone_number": "419-484-8181",
            "fax_number": "419-484-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION ICARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "JENNETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "419-484-8181",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5239/T2143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Dupont
• Timothy A Dymond, FNP-C
• Kristina Eberly, CNP
• Elmwood Centers Inc
• Cheryl Englehart, MA, LPC
• Erie Surgical Associates
• Executive Urology
• Cheryl Farris, PTA
• Gregory Michael Fesz, NDTR
• Firelands Regional Medical Center

• Optometrist in Bellevue, OH
• Providers in Bellevue, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.