NPIMap

Organization Active NPI

Tipp Eye Center Inc

  • Optometrist
  • Tipp City, OH
National Provider Identifier
1861543571
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3282 Issued in OH
Legal business name
TIPP EYE CENTER INC
Practice address
115 S Tippecanoe Dr
Tipp City, OH 45371-1194
Phone
(937) 667-1270
Fax
(937) 667-7198
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Mr. James R Ranft, O.D.NPI 1578530259
Title
Co-Owner
Phone
(937) 667-1270

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 3282 OH Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 4140 OH

Addresses

Primary practice location

115 S Tippecanoe Dr
Tipp City, OH 45371-1194

Mailing address

115 S Tippecanoe Dr
Tipp City, OH 45371-1194
Phone (937) 667-1270

Other identifiers 3

IdentifierTypeStateIssuer
CK3500OtherOHRAIL ROAD MEDICARE
31144413043200OtherOHANTHEM IDENTIFIER
0181342MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100809000020 OH Part B Supplier - Clinic/Group Practice 6709919905 Receives reassigned benefits from 4 practitioners
Practice locations: Tipp City, OH

National Provider Directory

National Provider Directory

Locations

115 S Tippecanoe Dr
Ste A
Tipp City, OH 45371
Phone (937) 667-1270

115 S Tippecanoe Dr
Tipp City, OH 45371
Phone (937) 667-1270

Practitioners & affiliated clinicians

Practitioners 5

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1861543571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S TIPPECANOE DR",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453711194",
            "telephone_number": "937-667-1270",
            "fax_number": "937-667-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S TIPPECANOE DR",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453711194",
            "telephone_number": "937-667-1270",
            "fax_number": "937-667-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIPP EYE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "RANFT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "937-667-1270",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3282",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4140",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CK3500",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM IDENTIFIER",
            "identifier": "31144413043200",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0181342",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tipp City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.