Auglaize Family Eye Care Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

5062 T1939 Issued in OH

Legal business name

AUGLAIZE FAMILY EYE CARE INC

Practice address

1201 Defiance St
Suite a
Wapakoneta, OH 45895-1086

Phone

(419) 738-2715

Fax

(419) 738-2815

NPI assigned

Apr 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. John M Price, ODNPI 1841393709

Title

Owner

Phone

(419) 738-2715

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John M Price, O.D.

  • Optometrist
  • Wapakoneta, OH
  • NPI 1841393709

  OH, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Kelli Price, O.D.

  • Optometrist
  • Wapakoneta, OH
  • NPI 1477656338

  OH

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1851535652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 DEFIANCE ST",
            "address_2": "SUITE A",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458951086",
            "telephone_number": "419-738-2715",
            "fax_number": "419-738-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 DEFIANCE ST",
            "address_2": "SUITE A",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458951086",
            "telephone_number": "419-738-2715",
            "fax_number": "419-738-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGLAIZE FAMILY EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-738-2715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5062 T1939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2983580",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "104689500-00",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT HEALTH CARE",
            "identifier": "6138",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000617762",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Als Auglaize Acres Operating, Inc.
• Auglaize Audiology Inc.
• Auglaize County Educational Academy
• Auglaize County Educational Service Center
• Auglaize County Special Needs
• Auglaize Family Practice Center LLC
• Alyssa Baker
• Crystal Baker
• Diana Bakle, PTA
• Lori Renee Bame, PTA

• All providers in Wapakoneta, OH
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.