NPIMap

Organization Active NPI

Red Bank Eye Associate, LLC

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1790089837
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4165 Issued in OH
Legal business name
RED BANK EYE ASSOCIATE, LLC
Practice address
4000 Red Bank Rd
@Wal-Mart Vision Center
Cincinnati, OH 45227-3416
Phone
(513) 351-9768
Fax
(513) 351-9809
NPI assigned
Jan 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Dr. Michael Thomas Powers, O.D.NPI 1487663365
Title
President
Phone
(513) 351-9768

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4165 OH Primary

Addresses

Primary practice location

4000 Red Bank Rd
@Wal-Mart Vision Center
Cincinnati, OH 45227-3416

Mailing address

4060 Waterford Way
Cincinnati, OH 45245-1956
Phone (513) 753-0953

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1790089837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 WATERFORD WAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451956",
            "telephone_number": "513-753-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 RED BANK RD",
            "address_2": "@WAL-MART VISION CENTER",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452273416",
            "telephone_number": "513-351-9768",
            "fax_number": "513-351-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED BANK EYE ASSOCIATE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-351-9768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.