Newark Family Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NEWARK FAMILY EYE CARE LLC

Practice address

1010 N 21St St
Newark, OH 43055-2984

Phone

(740) 366-5050

NPI assigned

Jan 10, 2018

Last updated

Feb 22, 2018By 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

Nicholas Perichak, ODNPI 1053792424

Title

Optometrist/Partner

Phone

(614) 721-2042

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 3

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.

• Brandy Cestoni, O.D.

  • Optometrist
  • Circleville, OH
  • NPI 1487035820
  Medicare reassignment Care Compare group
• Joshua Wolf, O.D.

  • Optometrist
  • Columbus, OH
  • NPI 1548641400
  Medicare reassignment Care Compare group
• Nicholas Tyler Perichak, O.D, M.S.

  • Optometrist
  • Newark, OH
  • NPI 1053792424
  Authorized official Same address or phone

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1760999882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N 21ST ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N 21ST ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552984",
            "telephone_number": "740-366-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWARK FAMILY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "PERICHAK",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OPTOMETRIST/PARTNER",
        "authorized_official_telephone_number": "614-721-2042",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Newark Care Center LLC (Price Road Health and Rehabilitation Center)
• Newark City Health Departmen
• Newark City Schools
• Newark Dental Group, LLC
• Newark Family Dentistry
• Newark Health Imaging
• Newark Intergraded Healthcare LLC
• Newark Leasing, LLC (Newark Care and Rehabilitationi)
• Newark NH LLC (Newark Hills Health and Rehabilitation Center)
• Newark Oncology

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.