Organization Active NPI

Southwest Eyecare, LLC

  • Optometrist
  • Grove City, OH
National Provider Identifier
1790888972
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SOUTHWEST EYECARE, LLC
Practice address
4140 Hoover Rd
Grove City, OH 43123-3625
Phone
(614) 801-2020
Fax
(614) 801-0001
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Marie E. Schiff, O.D.NPI 1295838480
Title
Owner
Phone
(614) 801-2020

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 OH Primary

Addresses

Primary practice location

4140 Hoover Rd
Grove City, OH 43123-3625

Mailing address

4140 Hoover Rd
Grove City, OH 43123-3625
Phone (614) 801-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050924000286 OH Part B Supplier - Clinic/Group Practice 8527092998 Receives reassigned benefits from 3 practitioners
Practice locations: Grove City, OH

National Provider Directory

National Provider Directory

Locations

4140 Hoover Rd
Grove City, OH 43123
Phone (614) 801-2020

Practitioners & affiliated clinicians

Practitioners 3

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": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790888972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 HOOVER RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233625",
            "telephone_number": "614-801-2020",
            "fax_number": "614-801-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 HOOVER RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233625",
            "telephone_number": "614-801-2020",
            "fax_number": "614-801-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHIFF",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-801-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.