Individual provider Active NPI

F. Todd Perzy, O.D.

  • Optometrist
  • Brunswick, OH
National Provider Identifier
1922002641
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5407 Issued in OH
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

Updated by the provider on Sep 10, 2007

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
300190443026OtherOHCARESOURCE
OH5407OtherOHEYEMED
2433209MedicaidOH
000000317105OtherOHBLUE CROSS
P00059627OtherOHRAILROAD 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

LicenseStateTypeSpecialty
5407OHMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionquest Eyecare Optometrist PastSince Jul 7, 2003 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.

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.

Verify at the official NPI Registry.