NPIMap

Organization Active NPI

John M. Price OD, Inc.

  • Optometrist
  • Saint Marys, OH
National Provider Identifier
1871677427
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5062 Issued in OH
Legal business name
JOHN M. PRICE OD, INC.
Practice address
140 W Spring St
Saint Marys, OH 45885-2312
Phone
(419) 394-2397
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Authorized official

Name
Mrs. Kelly Ginter
Title
Office Manager
Phone
(419) 394-2397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5062 OH Primary

Addresses

Primary practice location

140 W Spring St
Saint Marys, OH 45885-2312

Mailing address

140 W Spring St
Saint Marys, OH 45885-2312
Phone (419) 394-2397

Other identifiers 3

IdentifierTypeStateIssuer
2128978MedicaidOH
000000747797OtherOHANTHEM BC/BS
04911OtherOHPARAMOUNT

Other names 1

  • St. Marys Family Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040818001138 OH Part B Supplier - Clinic/Group Practice 2567435308 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Saint Marys, OH
O20121222000038 OH DME Supplier - Physician - Optometrist 2567435308 Practice locations: Saint Marys, OH

Other NPIs on the same Medicare enrollment 1

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

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
John M Price OD Inc140 W Spring St, Saint Marys, OH 45885-2312(419) 394-2397 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Aug 5, 2004

National Provider Directory

National Provider Directory
Tax ID family
Douglas Wine Family Optometry Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1871677427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W SPRING ST",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852312",
            "telephone_number": "419-394-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W SPRING ST",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852312",
            "telephone_number": "419-394-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M. PRICE OD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "GINTER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "419-394-2397",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2128978",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000747797",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "04911",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Marys Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Marys, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.