Organization Active NPI

Performance Vision Care Inc

  • Optometrist
  • Independence, OH
National Provider Identifier
1801903257
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5161 Issued in OH
Legal business name
PERFORMANCE VISION CARE INC
Practice address
6901 Rockside Rd
Independence, OH 44131-2348
Phone
(216) 525-0740
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Daniel John Uzl, ODNPI 1275684557
Title
President
Phone
(216) 525-0740

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 5161 OH Primary

Addresses

Primary practice location

6901 Rockside Rd
Independence, OH 44131-2348

Mailing address

6901 Rockside Rd
Independence, OH 44131-2348

Other practice location 1

5005 Milan Rd
Sandusky, OH 44870-5845
Phone (419) 625-7904

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040907000029 OH Part B Supplier - Clinic/Group Practice 3870569494 Receives reassigned benefits from 4 practitioners
Practice locations: Independence, OH; Sandusky, OH

National Provider Directory

National Provider Directory

Locations

6901 Rockside Rd
Ste 21
Independence, OH 44131
Phone (216) 525-0740

6901 Rockside Rd
Independence, OH 44131
Phone (216) 525-0740

5005 Milan Rd
Sandusky, OH 44870
Phone (419) 625-7904

Practitioners & affiliated clinicians

Practitioners 4

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": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1801903257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 ROCKSIDE RD",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 ROCKSIDE RD",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312348",
            "telephone_number": "216-525-0740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5005 Milan Rd",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "OH",
            "postal_code": "448705845",
            "country_code": "US",
            "telephone_number": "419-625-7904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERFORMANCE VISION CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "UZL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-525-0740",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.