Premier Optometry Group, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3345 Issued in OH

Legal business name

PREMIER OPTOMETRY GROUP, LLC

Practice address

399 E Church St
Suite 101
Marion, OH 43302-4143

Phone

(740) 387-8414

Fax

(740) 382-9434

NPI assigned

Oct 24, 2006

Last updated

Aug 22, 2020By 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

Dr. Jerry W Ferrell, O.D.

Title

Member

Phone

(740) 387-8414

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 5

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.

• Matthew Paul Axline, OD OPTOMETRIST

  • Optometrist
  • Bucyrus, OH
  • NPI 1811003957
  Medicare reassignment Care Compare group NPD
• Wayne H Collier, O.D.

  • Optometrist
  • Bucyrus, OH
  • NPI 1073537023
  Medicare reassignment Care Compare group NPD
• Jill Carlene Danker, O.D.

  • Optometrist
  • Bucyrus, OH
  • NPI 1396368718
  Medicare reassignment Care Compare group NPD
• Gregory V Ferrell, O.D.

  • Optometrist
  • Marion, OH
  • NPI 1255770772
  Medicare reassignment Care Compare group NPD
• Shane Jones, OD

  • Optometrist
  • Marion, OH
  • NPI 1700524980
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770667057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E CHURCH ST",
            "address_2": "SUITE 101",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433024143",
            "telephone_number": "740-387-8414",
            "fax_number": "740-382-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E CHURCH ST",
            "address_2": "SUITE 101",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433024143",
            "telephone_number": "740-387-8414",
            "fax_number": "740-382-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER OPTOMETRY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERRELL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "740-387-8414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Postell
• Powerback Rehabilitation LLC (Powerback Rehabilitation)
• Asha S. Prakash, MD
• Sandra Prater, RN
• Timothy James Prater, D.C.
• Shanna Price, NP
• Vicki Primmer, RN
• Halina Pritula, M.D.
• Procare Anesthesia, LLC
• Procare Health Solutions LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.