NPIMap

Organization Active NPI

Dayton Children'S Specialty Physicians, Inc.

  • Eyewear Supplier
  • Dayton, OH
National Provider Identifier
1891362935
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
DAYTON CHILDREN'S SPECIALTY PHYSICIANS, INC.
Doing business as
Dayton Children's Specialty Physicians Inc. (Optical Retail Shop)
Practice address
1 Childrens PLZ
Dayton, OH 45404-1873
Phone
(937) 641-5747
Fax
(937) 641-4350
NPI assigned
Jun 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Chris Bergman
Title
Cfo, VP Finance
Phone
(937) 641-5819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1 Childrens PLZ
Dayton, OH 45404-1873

Mailing address

1 Childrens PLZ
Dayton, OH 45404-1873
Phone (937) 641-3555

Other names 1

  • Dayton Children's Specialty Physicians Inc. (Optical Retail Shop) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dayton Children'S Specialty Physicians Inc Optical Retail Shop2 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.

NPI Registry JSON

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1891362935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS PLZ",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454041873",
            "telephone_number": "937-641-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS PLZ",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454041873",
            "telephone_number": "937-641-5747",
            "fax_number": "937-641-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON CHILDREN'S SPECIALTY PHYSICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "BERGMAN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CFO, VP FINANCE",
        "authorized_official_telephone_number": "937-641-5819"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dayton Children's Specialty Physicians Inc. (Optical Retail Shop)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.