NPIMap

Organization Active NPI

Belmont Eye Clinic, Inc.

  • Ambulatory Surgical Clinic/Center
  • Youngstown, OH
National Provider Identifier
1932281979
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
128 Issued in OH
Legal business name
BELMONT EYE CLINIC, INC.
Practice address
3020 Belmont Ave
Youngstown, OH 44505-1846
Phone
(330) 759-7672
Fax
(330) 759-4768
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Dr. Sherif I Hanna, M.D.
Title
Medical Director
Phone
(330) 759-7672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 128 OH Primary

Addresses

Primary practice location

3020 Belmont Ave
Youngstown, OH 44505-1846

Mailing address

3020 Belmont Ave
Youngstown, OH 44505-1846
Phone (330) 759-7672

Other identifiers 2

IdentifierTypeStateIssuer
000000157188OtherOHANTHEM
0151535MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 36C0001060

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
BELMONT EYE SURGERY
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Apr 20, 1995
Last certification
Jun 20, 2019
Ownership / control type
Proprietary
Facility address
3020 Belmont Avenue
Youngstown, OH 44505

National Provider Directory

National Provider Directory

Locations

3020 Belmont Ave
Youngstown, OH 44505
Phone (330) 759-7672

5600 Mahoning Ave
Youngstown, OH 44515
Phone (330) 318-3150

Practitioners & affiliated clinicians

Practitioners 6

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1932281979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051846",
            "telephone_number": "330-759-7672",
            "fax_number": "330-759-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051846",
            "telephone_number": "330-759-7672",
            "fax_number": "330-759-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT EYE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "SHERIF",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "330-759-7672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000157188",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151535",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.