Organization Active NPI

Central Ohio Eye Surgeons Inc

  • Ophthalmology Physician
  • Mount Vernon, OH
National Provider Identifier
1942424932
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CENTRAL OHIO EYE SURGEONS INC
Practice address
1355 Yauger Rd
Mount Vernon, OH 43050-9233
Phone
(740) 397-2425
Fax
(740) 392-1915
NPI assigned
Apr 12, 2007
Last updated
Dec 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Ms. Kelly Sidle
Title
Billing
Phone
(740) 397-2425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

1355 Yauger Rd
Mount Vernon, OH 43050-9233

Mailing address

1355 Yauger Rd
Mount Vernon, OH 43050-9233
Phone (740) 397-2425

Other identifiers 2

IdentifierTypeStateIssuer
0380449MedicaidOH
0349233MedicaidOH

National Provider Directory

National Provider Directory

Locations

1355 Yauger Rd
Mount Vernon, OH 43050
Phone (614) 397-2425

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1942424932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 YAUGER RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430509233",
            "telephone_number": "740-397-2425",
            "fax_number": "740-392-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 YAUGER RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430509233",
            "telephone_number": "740-397-2425",
            "fax_number": "740-392-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OHIO EYE SURGEONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "SIDLE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "740-397-2425",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0380449",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0349233",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.