Organization Active NPI

Jeffrey G Hirschl O D Inc

  • Optometrist
  • Boardman, OH
National Provider Identifier
1902823834
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3863 Issued in OH
Legal business name
JEFFREY G HIRSCHL O D INC
Practice address
8277 Market St
Suite B
Boardman, OH 44512-6246
Phone
(330) 726-5544
Fax
(330) 758-3874
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Jeffrey Hirschl, O.D.
Title
President
Phone
(330) 726-5544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3863 OH Primary

Addresses

Primary practice location

8277 Market St
Suite B
Boardman, OH 44512-6246

Mailing address

8277 Market St
Boardman, OH 44512-6255
Phone (330) 726-5544

Other identifiers 2

IdentifierTypeStateIssuer
2317344MedicaidOH
C31199OtherOHRAILROAD MEDICARE GROUP

National Provider Directory

National Provider Directory

Locations

8277 Market St
Ste B
Youngstown, OH 44512
Phone (330) 726-5544

8277 Market St
Youngstown, OH 44512
Phone (330) 726-5544

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1902823834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8277 MARKET ST",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126255",
            "telephone_number": "330-726-5544",
            "fax_number": "330-758-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8277 MARKET ST",
            "address_2": "SUITE B",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126246",
            "telephone_number": "330-726-5544",
            "fax_number": "330-758-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY G HIRSCHL O D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "HIRSCHL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-726-5544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2317344",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "C31199",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.