Organization Active NPI

Buckeye Vision Care Inc.

  • Optometrist
  • Logan, OH
National Provider Identifier
1790889491
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5564 Issued in OH
Legal business name
BUCKEYE VISION CARE INC.
Practice address
30652 Red Rock CT
Logan, OH 43138-9670
Phone
(740) 385-4006
Fax
(740) 385-4043
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Dr. Lawrence J. Mesarch, O.D.NPI 1386736726
Title
Doctor/Authorized Official
Phone
(614) 783-6577

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 5564 OH Primary

Addresses

Primary practice location

30652 Red Rock CT
Logan, OH 43138-9670

Mailing address

30652 Red Rock CT
Logan, OH 43138-9670
Phone (740) 385-4006

Other identifiers 1

IdentifierTypeStateIssuer
2622997MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060926000100 OH Part B Supplier - Clinic/Group Practice 5799780763 Receives reassigned benefits from 4 practitioners
Practice locations: Logan, OH
O20100930022204 OH DME Supplier - Physician - Optometrist 5799780763 Practice locations: Logan, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Buckeye Vision Care Inc30652 Red Rock CT, Logan, OH 43138-9670(740) 385-4006 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Sep 11, 2006

National Provider Directory

National Provider Directory

Locations

30652 Red Rock Ct
Logan, OH 43138
Phone (740) 385-4006

158 E Main St
Logan, OH 43138
Phone (614) 385-6864

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1790889491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30652 RED ROCK CT",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431389670",
            "telephone_number": "740-385-4006",
            "fax_number": "740-385-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30652 RED ROCK CT",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431389670",
            "telephone_number": "740-385-4006",
            "fax_number": "740-385-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE VISION CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "MESARCH",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DOCTOR/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "614-783-6577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2622997",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.