Organization Active NPI

Toledo Society for the Blind

  • Occupational Vision Optometrist
  • Toledo, OH
National Provider Identifier
1861586729
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Vision OptometristTaxonomy code 152WX0102X
Legal business name
TOLEDO SOCIETY FOR THE BLIND
Practice address
2865 N Reynolds Rd
Toledo, OH 43615-2068
Phone
(419) 720-3937
Fax
(419) 720-3938
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Jenell Gust
Title
Billing Specialist
Phone
(419) 720-3937

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Low Vision Rehabilitation OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WL0500X
Occupational Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WX0102X Primary

Addresses

Primary practice location

2865 N Reynolds Rd
Toledo, OH 43615-2068

Mailing address

1002 Garden Lake Pwy
Toledo, OH 43614-2780
Phone (419) 720-3937

Other identifiers 2

IdentifierTypeStateIssuer
0566329MedicaidOH
02197OtherOHPARAMOUNT PROVIDER NUMBER

Other names 1

  • The Sight Center of Northwest Ohio Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041103000679 OH Part B Supplier - Clinic/Group Practice 1254393044 Receives reassigned benefits from 3 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Defiance, OH; Findlay, OH; Toledo, OH

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1861586729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 GARDEN LAKE PWY",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142780",
            "telephone_number": "419-720-3937",
            "fax_number": "419-720-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 N REYNOLDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436152068",
            "telephone_number": "419-720-3937",
            "fax_number": "419-720-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLEDO SOCIETY FOR THE BLIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GUST",
        "authorized_official_first_name": "JENELL",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "419-720-3937",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0566329",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT PROVIDER NUMBER",
            "identifier": "02197",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Sight Center of Northwest Ohio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.