Lexington Family Eye Care
Organization Active NPI Optometrist · Lexington, OH
NPI 1780141937 · NPPES record last updated Feb 25, 2019
Key facts
- NPI
- 1780141937
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- LEXINGTON FAMILY EYE CARE
- Practice address
- 35 Plymouth St
Lexington, OH 44904-1123 - Phone
- (419) 884-0500
- NPI assigned
- Feb 25, 2019
- Organization subpart
- No
Authorized official
- Name
- Mr. Christopher Shewan, OD
- Title
- Owner
- Phone
- (419) 884-0500
Practitioners 2
-
Bruce E Bachelder, O.D.
-
Christopher E. Shewan, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190404000263 | OH | Part B Supplier - Clinic/Group Practice | 3274874078 |
Receives reassigned benefits from 2 practitioners Practice locations: Lexington, OH; Groveport, OH |
National Provider Directory
Locations
5335 Hendron Rd
Groveport, OH 43125
Phone (614) 828-8844
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
35 Plymouth St
Lexington, OH 44904-1123
Mailing address
2020 Lexington Ave
Mansfield, OH 44907-3024
Other providers in Lexington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.