John J. Antalis, MD Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35060862 Issued in OH

Legal business name

JOHN J. ANTALIS, MD INC

Practice address

1502 Deerpath Dr
Cambridge, OH 43725-9240

Phone

(740) 439-3020

Fax

(740) 432-5487

NPI assigned

Mar 20, 2007

Organization subpart

Yes

Parent organization

JOHN J. ANTALIS, MDAs reported in NPPES

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

Authorized official

Name

John J AntalisNPI 1689676777

Title

Owner

Phone

(740) 439-3020

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• John J. Antalis, MD INC Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Part of

John J Antalis MD Inc

Locations

Practitioners 1

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

• John J Antalis, M.D.

  • Ophthalmology Physician
  • Cambridge, OH
  • NPI 1689676777
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1780709592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 DEERPATH DR",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259240",
            "telephone_number": "740-439-3020",
            "fax_number": "740-432-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 DEERPATH DR",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259240",
            "telephone_number": "740-439-3020",
            "fax_number": "740-432-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J. ANTALIS, MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN J. ANTALIS, MD",
        "enumeration_date": "2007-03-20",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "ANTALIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-439-3020"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35060862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB/ MEDICARE GROUP",
            "identifier": "DG0782",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180036464",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0916003",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John J. Antalis, MD INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Dawn Jeffery, RN
• Jeffries Chiropractic & Wellness LLC
• Robert Patrick Jeffries, DC
• Renita S Jennings, RN
• Paul Jirles, RPH
• Diamond Maria Johnson-Hannan
• Alexandrea Lyn Johnson
• Emily Grace Johnson, PA-C
• Patricia Susan Johnson, LICDCCS
• Laura D Johnston, LISW

• Ophthalmology Physician in Cambridge, OH
• Providers in Cambridge, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.