Canton Ophthalmology Associates, Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

CANTON OPHTHALMOLOGY ASSOCIATES, INC.

Practice address

2600 Tuscarawas St W
Suite 200
Canton, OH 44708-4644

Phone

(330) 456-0047

Fax

(330) 456-9308

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jamie L. Zucker, M.D.

Title

Managing Partner

Phone

(330) 456-0047

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229990400000",
    "number": "1861508079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 TUSCARAWAS ST W",
            "address_2": "SUITE 200",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084644",
            "telephone_number": "330-456-0047",
            "fax_number": "330-456-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 TUSCARAWAS ST W",
            "address_2": "SUITE 200",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084644",
            "telephone_number": "330-456-0047",
            "fax_number": "330-456-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON OPHTHALMOLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-12-23",
        "status": "A",
        "authorized_official_last_name": "ZUCKER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "330-456-0047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0322314",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Canton Family Healthcare LLC
• Canton Friendship Center, Inc.
• Canton General Surgery Associates, Inc.
• Canton Injury Center LLC
• Canton Internal Medicine Associates Ince
• Canton Orthotic Laboratory Inc
• Canton Pathology Associates, Inc.
• Canton Pediatric Dental Center
• Canton Primary Care & Hospital Medicine, Inc..
• Canton Rehabilitation and Nursing Center LLC (Hall of Fame Rehabilitation and Nursing Center)

• Ophthalmology Physician in Canton, OH
• Providers in Canton, OH by specialty
• Ophthalmology Physician in Ohio

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