Organization Active NPI

Toledo Society for the Blind

Doing business as The Sight Center of Northwest Ohio

  • Optometrist
  • Toledo, OH
National Provider Identifier
1922103209
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TOLEDO SOCIETY FOR THE BLIND
Doing business as
The Sight Center of Northwest Ohio
Practice address
1002 Garden Lake Pkwy
Toledo, OH 43614-2780
Phone
(419) 720-3937
Fax
(419) 720-3938
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Authorized official

Name
Stacey Butts
Title
Assistant Director
Phone
(419) 720-3937

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Low Vision Rehabilitation OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WL0500X
Occupational Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WX0102X

Addresses

Primary practice location

1002 Garden Lake Pkwy
Toledo, OH 43614-2780

Mailing address

1002 Garden Lake Pkwy
Toledo, OH 43614-2780
Phone (419) 720-3937

Other identifiers 3

IdentifierTypeStateIssuer
02197OtherOHPARAMOUNT
0071549MedicaidOH
0566329MedicaidOH

Other names 1

  • The Sight Center of Northwest Ohio Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041103000679 OH Part B Supplier - Clinic/Group Practice 1254393044 Receives reassigned benefits from 3 practitioners
2 other NPIs on this enrollment
Practice locations: Defiance, OH; Findlay, OH; Toledo, OH

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
The Sight Center of Northwest Ohio2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1819 Canton Ave
Toledo, OH 43604
Phone (419) 241-1183

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1922103209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 GARDEN LAKE PKWY",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142780",
            "telephone_number": "419-720-3937",
            "fax_number": "419-720-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 GARDEN LAKE PKWY",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142780",
            "telephone_number": "419-720-3937",
            "fax_number": "419-720-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLEDO SOCIETY FOR THE BLIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "BUTTS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "419-720-3937"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "02197",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071549",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0566329",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Sight Center of Northwest Ohio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.