Organization Active NPI

Ohio Eye Doctors LLC

  • Optometrist
  • Springfield, OH
National Provider Identifier
1770983736
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OHIO EYE DOCTORS LLC
Practice address
2051 N Bechtle Ave
Eye Mart
Springfield, OH 45504-1583
Phone
(937) 399-8000
Fax
(937) 399-8160
NPI assigned
Aug 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Authorized official

Name
Dr. Weston Mangold, OD
Title
President
Phone
(937) 321-1033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2051 N Bechtle Ave
Eye Mart
Springfield, OH 45504-1583

Mailing address

2051 N Bechtle Ave
Eye Mart
Springfield, OH 45504-1583
Phone (937) 399-8000

National Provider Directory

National Provider Directory

Locations

2051 N Bechtle Ave
Springfield, OH 45504
Phone (937) 399-8000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1770983736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 N BECHTLE AVE",
            "address_2": "EYE MART",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041583",
            "telephone_number": "937-399-8000",
            "fax_number": "937-399-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 N BECHTLE AVE",
            "address_2": "EYE MART",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041583",
            "telephone_number": "937-399-8000",
            "fax_number": "937-399-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO EYE DOCTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "MANGOLD",
        "authorized_official_first_name": "WESTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-321-1033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.