Organization Active NPI

Hollywood Family Eye Care Inc

  • Optician
  • Steubenville, OH
National Provider Identifier
1902190762
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
S4846 Issued in OH
Legal business name
HOLLYWOOD FAMILY EYE CARE INC
Practice address
276 S Hollywood Blvd
Steubenville, OH 43952-2422
Phone
(330) 440-2318
NPI assigned
Jun 8, 2011
Last updated
Oct 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
Mrs. Maura Elizabeth Stipanovich
Title
President
Phone
(330) 440-2318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X S4846 OH Primary

Addresses

Primary practice location

276 S Hollywood Blvd
Steubenville, OH 43952-2422

Mailing address

276 S Hollywood Blvd
Steubenville, OH 43952-2422
Phone (330) 440-2318

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121115000208 OH Part B Supplier - Clinic/Group Practice 2769633064 Receives reassigned benefits from 2 practitioners
Practice locations: Steubenville, OH

National Provider Directory

National Provider Directory

Locations

276 S Hollywood Blvd
Steubenville, OH 43952
Phone (330) 440-2318

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1902190762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 S HOLLYWOOD BLVD",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522422",
            "telephone_number": "330-440-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 S HOLLYWOOD BLVD",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522422",
            "telephone_number": "330-440-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD FAMILY EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "STIPANOVICH",
        "authorized_official_first_name": "MAURA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-440-2318",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "S4846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.