Organization Active NPI

Brighteyes Inc.

Doing business as Brighteyes Optical

  • Durable Medical Equipment & Medical Supplies
  • Dayton, OH
National Provider Identifier
1811179351
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
3912 Issued in OH
Legal business name
BRIGHTEYES INC.
Doing business as
Brighteyes Optical
Practice address
5135 N Dixie Dr
Dayton, OH 45414-3944
Phone
(937) 277-9991
NPI assigned
Nov 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Dr. Mark Willinger, O.D.NPI 1558386953
Title
Owner
Phone
(937) 277-9991

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
Durable Medical Equipment & Medical Supplies 332B00000X 3912 OH Primary

Addresses

Primary practice location

5135 N Dixie Dr
Dayton, OH 45414-3944

Mailing address

5135 N Dixie Dr
Dayton, OH 45414-3944
Phone (937) 277-9991

Other identifiers 1

IdentifierTypeStateIssuer
0711895MedicaidOH

Other names 1

  • BRIGHTEYES OPTICAL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110805000712 OH Part B Supplier - Clinic/Group Practice 9931228210 Receives reassigned benefits from 1 practitioner
Practice locations: Dayton, OH

National Provider Directory

National Provider Directory

Locations

5135 N Dixie Dr
Dayton, OH 45414
Phone (937) 277-9991

5208 Springboro Pike
Moraine, OH 45439
Phone (224) 390-0191

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": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1811179351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5135 N DIXIE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454143944",
            "telephone_number": "937-277-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5135 N DIXIE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454143944",
            "telephone_number": "937-277-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTEYES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "WILLINGER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-277-9991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "3912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0711895",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIGHTEYES OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

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