Organization Active NPI

Robert F. Jozwiak, O.D. Inc.

  • Corneal and Contact Management Optometrist
  • Westerville, OH
National Provider Identifier
1902086630
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
2871T504 Issued in OH
Legal business name
ROBERT F. JOZWIAK, O.D. INC.
Practice address
113 Commerce Park Dr Ste a
Westerville, OH 43082-6055
Phone
(614) 882-9131
Fax
(614) 882-9133
NPI assigned
Nov 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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

Authorized official

Name
Dr. Robert Floyd Jozwiak, O.D.
Title
President
Phone
(614) 882-9131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 2871T504 OH Primary

Addresses

Primary practice location

113 Commerce Park Dr Ste a
Westerville, OH 43082-6055

Mailing address

113 Commerce Park Dr Ste a
Westerville, OH 43082-6055
Phone (614) 882-9131

Other identifiers 5

IdentifierTypeStateIssuer
OH2871OtherOHEYEMED
2200233OtherOHUNITED HEALTH CARE
000000239361OtherOHANTHEM
271403744004OtherOHMEDICAL MUTUAL
5928048OtherOHAETNA

Other names 1

  • Northeast Vision Services Doing business as

National Provider Directory

National Provider Directory

Locations

113 Commerce Park Dr
Ste A
Westerville, OH 43082
Phone (614) 266-4381

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": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253836800000",
    "number": "1902086630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 COMMERCE PARK DR STE A",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826055",
            "telephone_number": "614-882-9131",
            "fax_number": "614-882-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 COMMERCE PARK DR STE A",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826055",
            "telephone_number": "614-882-9131",
            "fax_number": "614-882-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT F. JOZWIAK, O.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2009-09-25",
        "status": "A",
        "authorized_official_last_name": "JOZWIAK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "FLOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-882-9131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OH",
            "license": "2871T504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "OH2871",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2200233",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000239361",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "271403744004",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5928048",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Vision Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; 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.