Organization Active NPI

Oic Integrative Optometry LLC

  • Optometrist
  • Middlefield, OH
National Provider Identifier
1811602030
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OIC INTEGRATIVE OPTOMETRY LLC
Practice address
14894 N State Ave
Middlefield, OH 44062-9724
Phone
(440) 632-1695
NPI assigned
Jan 23, 2023
Last updated
Jan 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Nancy CozziNPI 1194955310
Title
Optometrist
Phone
(330) 784-1155

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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

14894 N State Ave
Middlefield, OH 44062-9724

Mailing address

4602 New Milford Rd
Rootstown, OH 44272-9780
Phone (314) 477-7278

Other identifiers 1

IdentifierTypeStateIssuer
0485517MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.oicoptometry.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Oic Integrative Optometry LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14894 N State Ave
Middlefield, OH 44062
Phone (440) 632-1695

Practitioners & affiliated clinicians

Practitioners 1

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": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1811602030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 NEW MILFORD RD",
            "city": "ROOTSTOWN",
            "state": "OH",
            "postal_code": "442729780",
            "telephone_number": "314-477-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14894 N STATE AVE",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440629724",
            "telephone_number": "440-632-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OIC INTEGRATIVE OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-22",
        "status": "A",
        "authorized_official_last_name": "COZZI",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "330-784-1155"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0485517",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.oicoptometry.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14894 N State Ave",
            "city": "Middlefield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440629724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middlefield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.