Elyria Eye Clinic Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35051885 Issued in OH

Legal business name

ELYRIA EYE CLINIC INC

Practice address

850 E Broad St
Elyria, OH 44035-6559

Phone

(440) 366-9411

Fax

(440) 366-9403

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Roy H. Thomas, M.D.

Title

President

Phone

(440) 366-9411

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1962561183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 E BROAD ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356559",
            "telephone_number": "440-366-9411",
            "fax_number": "440-366-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E BROAD ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356559",
            "telephone_number": "440-366-9411",
            "fax_number": "440-366-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYRIA EYE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-366-9411",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35051885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0592701",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Elyria, OH
• Providers in Elyria, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.