Organization Active NPI

Anthony Wayne Vision Services Inc

  • Optometrist
  • Waterville, OH
National Provider Identifier
1912196940
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3632 Issued in OH
Legal business name
ANTHONY WAYNE VISION SERVICES INC
Practice address
8245 Farnsworth Rd Ste a
Waterville, OH 43566-9478
Phone
(419) 878-3937
NPI assigned
Oct 16, 2007
Last updated
May 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Authorized official

Name
James C Robinson, O,D.NPI 1215931076
Title
Optometrist
Phone
(419) 878-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3632 OH Primary

Addresses

Primary practice location

8245 Farnsworth Rd Ste a
Waterville, OH 43566-9478

Mailing address

PO Box 195
Waterville, OH 43566-0195
Phone (419) 878-3937

Other identifiers 1

IdentifierTypeStateIssuer
0513804MedicaidOH

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100505000005 OH Part B Supplier - Clinic/Group Practice 8628106176 Receives reassigned benefits from 1 practitioner
Practice locations: Waterville, OH
O20100930052051 OH DME Supplier - Physician - Optometrist 8628106176 Practice locations: Waterville, OH

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
Anthony Wayne Vision Services Inc8245 Farnsworth Rd, Waterville, OH 43566-9478(419) 878-3937 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Does not accept assignmentParticipating since Jan 1, 1991

National Provider Directory

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, 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": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1912196940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195",
            "city": "WATERVILLE",
            "state": "OH",
            "postal_code": "435660195",
            "telephone_number": "419-878-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8245 FARNSWORTH RD STE A",
            "city": "WATERVILLE",
            "state": "OH",
            "postal_code": "435669478",
            "telephone_number": "419-878-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY WAYNE VISION SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "419-878-3937",
        "authorized_official_credential": "O,D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0513804",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.