Organization Active NPI

Breslow Eye Care LLC

  • Optometrist
  • Springfield, OH
National Provider Identifier
1851628416
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5848 Issued in OH
Legal business name
BRESLOW EYE CARE LLC
Practice address
1475 Upper Valley Pike
Springfield, OH 45504-4047
Phone
(937) 525-9266
Fax
(937) 525-9633
NPI assigned
Nov 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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

Authorized official

Name
Dr. Matthew Elliot Breslow, O.D.NPI 1841428489
Title
Optometrist
Phone
(937) 525-9266

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 5848 OH Primary

Addresses

Primary practice location

1475 Upper Valley Pike
Springfield, OH 45504-4047

Mailing address

1475 Upper Valley Pike
Springfield, OH 45504-4047
Phone (937) 525-9266

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091103000522 OH Part B Supplier - Clinic/Group Practice 9234277757 Receives reassigned benefits from 2 practitioners
Practice locations: Carroll, OH; Columbus, OH

National Provider Directory

National Provider Directory

Locations

3794 Old Columbus Rd NW
Carroll, OH 43112
Phone (614) 235-9393

2354 E Main St
Columbus, OH 43209
Phone (614) 235-9393

1475 Upper Valley Pike
#448
Springfield, OH 45504
Phone (937) 525-9266

1830 N Limestone St
Ste 1
Springfield, OH 45503
Phone (937) 390-1000

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": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1851628416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 UPPER VALLEY PIKE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455044047",
            "telephone_number": "937-525-9266",
            "fax_number": "937-525-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 UPPER VALLEY PIKE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455044047",
            "telephone_number": "937-525-9266",
            "fax_number": "937-525-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRESLOW EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "BRESLOW",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ELLIOT",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "937-525-9266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.