Active NPI
F. Todd Perzy, O.D.
- Optometrist
- Brunswick, OH
National Provider Identifier
1922002641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5407
- Practice address
- 4014 Center Rd
Brunswick, OH 44212-3033 - Phone
- (330) 225-1254
- Fax
- (330) 225-2033
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5407 | OH | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 5407 | OH | |
| Pediatric Optometrist | 152WP0200X | 5407 | OH | |
| Vision Therapy Optometrist | 152WV0400X | 5407 | OH | |
| Occupational Vision Optometrist | 152WX0102X | 5407 | OH |
Addresses
Primary practice location
4014 Center Rd
Brunswick, OH 44212-3033
Mailing address
4014 Center Rd
Brunswick, OH 44212-3033
Phone (330) 225-1254
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300190443026 | Other | OH | CARESOURCE |
| OH5407 | Other | OH | EYEMED |
| 2433209 | Medicaid | OH | |
| 000000317105 | Other | OH | BLUE CROSS |
| P00059627 | Other | OH | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5407 | OH | MD | Vision Therapy Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionquest Eyecare | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Brunswick, OH
- NPI 1003976622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189382400000",
"number": "1922002641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4014 CENTER RD",
"city": "BRUNSWICK",
"state": "OH",
"postal_code": "442123033",
"telephone_number": "330-225-1254",
"fax_number": "330-225-2033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4014 CENTER RD",
"city": "BRUNSWICK",
"state": "OH",
"postal_code": "442123033",
"telephone_number": "330-225-1254",
"fax_number": "330-225-2033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERZY",
"first_name": "F.",
"middle_name": "TODD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2007-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "5407",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "OH",
"license": "5407",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "OH",
"license": "5407",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "OH",
"license": "5407",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "OH",
"license": "5407",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "300190443026",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "OH5407",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2433209",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000000317105",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00059627",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.