NPIMap

Organization Active NPI

Eye Site, L.L.C.

Doing business as The Eye Site

  • Optometrist
  • Granville, OH
National Provider Identifier
1932320447
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5109 Issued in OH
Legal business name
EYE SITE, L.L.C.
Doing business as
The Eye Site
Practice address
114 N Galway Dr
Granville, OH 43023-9572
Phone
(740) 587-4970
Fax
(740) 587-4863
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Authorized official

Name
Dr. Brett Alan Dietz, O.D.NPI 1356441802
Title
Owner
Phone
(740) 587-4970

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5109 OH Primary

Addresses

Primary practice location

114 N Galway Dr
Granville, OH 43023-9572

Mailing address

114 N Galway Dr
Granville, OH 43023-9572
Phone (740) 587-4970

Other identifiers 2

IdentifierTypeStateIssuer
2235414MedicaidOH
0294346MedicaidOH

Other names 1

  • The Eye Site Doing business as

National Provider Directory

National Provider Directory

Locations

114 N Galway Dr
Granville, OH 43023
Phone (740) 587-4970

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1932320447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N GALWAY DR",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239572",
            "telephone_number": "740-587-4970",
            "fax_number": "740-587-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N GALWAY DR",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239572",
            "telephone_number": "740-587-4970",
            "fax_number": "740-587-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SITE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "DIETZ",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-587-4970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2235414",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0294346",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Site",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Granville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.