NPIMap

Organization Active NPI

Deeds Family Vision Care Inc.

  • Optometrist
  • Chesapeake, OH
National Provider Identifier
1962607663
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4890 Issued in OH
Legal business name
DEEDS FAMILY VISION CARE INC.
Practice address
11139 County Road 1
Chesapeake, OH 45619-7015
Phone
(740) 867-4411
Fax
(740) 867-8416
NPI assigned
Jun 20, 2007
Last updated
Jan 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2011

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

Authorized official

Name
Dr. Anne Michelle Deeds, O.D.NPI 1487654620
Title
Vice President
Phone
(740) 867-4411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4890 OH Primary

Addresses

Primary practice location

11139 County Road 1
Chesapeake, OH 45619-7015

Mailing address

11139 County Road 1
Chesapeake, OH 45619-7015
Phone (740) 867-4411

Other identifiers 1

IdentifierTypeStateIssuer
2227923MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040308000586 OH Part B Supplier - Clinic/Group Practice 0840188207 Receives reassigned benefits from 2 practitioners
Practice locations: Chesapeake, OH

National Provider Directory

National Provider Directory

Locations

11139 County Road 1
Chesapeake, OH 45619
Phone (740) 862-4411

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1962607663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11139 COUNTY ROAD 1",
            "city": "CHESAPEAKE",
            "state": "OH",
            "postal_code": "456197015",
            "telephone_number": "740-867-4411",
            "fax_number": "740-867-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11139 COUNTY ROAD 1",
            "city": "CHESAPEAKE",
            "state": "OH",
            "postal_code": "456197015",
            "telephone_number": "740-867-4411",
            "fax_number": "740-867-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEDS FAMILY VISION CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "DEEDS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "740-867-4411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2227923",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.