Organization Active NPI

Price Family Eyecare Professionals, LLC

  • Optometrist
  • Lancaster, OH
National Provider Identifier
1841472883
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PRICE FAMILY EYECARE PROFESSIONALS, LLC
Practice address
135 W 6TH Ave
Lancaster, OH 43130-2506
Phone
(740) 654-4762
Fax
(740) 653-7629
NPI assigned
Dec 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Mr. Christian J Price, O.D.NPI 1518955590
Title
Owner/President
Phone
(740) 654-4762

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 Primary

Addresses

Primary practice location

135 W 6TH Ave
Lancaster, OH 43130-2506

Mailing address

135 W 6TH Ave
Lancaster, OH 43130-2506
Phone (740) 654-4762

Other identifiers 1

IdentifierTypeStateIssuer
2823467MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080115000813 OH Part B Supplier - Clinic/Group Practice 2264513225 Receives reassigned benefits from 4 practitioners
Practice locations: Chillicothe, OH; Lancaster, OH

National Provider Directory

National Provider Directory

Locations

135 W 6th Ave
Lancaster, OH 43130
Phone (740) 654-4762

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1196467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1841472883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W 6TH AVE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431302506",
            "telephone_number": "740-654-4762",
            "fax_number": "740-653-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W 6TH AVE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431302506",
            "telephone_number": "740-654-4762",
            "fax_number": "740-653-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRICE FAMILY EYECARE PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-01",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "740-654-4762",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2823467",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.