Eyes 20/20

Primary specialty

OptometristTaxonomy code 152W00000X

License

3576 Issued in OH

Legal business name

EYES 20/20

Practice address

115 W Broad St
Suite a
Newton Falls, OH 44444-1572

Phone

(330) 872-1371

NPI assigned

Oct 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Wallie, OD

Title

Owner

Phone

(330) 872-1371

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1992984033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W BROAD ST",
            "address_2": "SUITE A",
            "city": "NEWTON FALLS",
            "state": "OH",
            "postal_code": "444441572",
            "telephone_number": "330-872-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W BROAD ST",
            "address_2": "SUITE A",
            "city": "NEWTON FALLS",
            "state": "OH",
            "postal_code": "444441572",
            "telephone_number": "330-872-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES 20/20",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "WALLIE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-872-1371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "OH3576",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "272443180010",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0481072",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000227072",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS",
            "identifier": "42685",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CR Inc
• Jason Cross
• Debra S. Hollister DO
• Charles L. Demario, M.D.
• Dental Associates of Newton Falls Inc.
• Harold Oscar Firster, D.P.M.
• Madeline Ashley Fowler
• Mary F Geraci
• Gabriella Gessler
• Johnny Giuliano

• Optometrist in Newton Falls, OH
• Providers in Newton Falls, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.