NPIMap

Organization Active NPI

Eyes 20/20

  • Optometrist
  • Newton Falls, OH
National Provider Identifier
1992984033
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jan 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Dr. Ronald Wallie, ODNPI 1891748067
Title
Owner
Phone
(330) 872-1371

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 3576 OH Primary

Addresses

Primary practice location

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

Mailing address

115 W Broad St
Suite a
Newton Falls, OH 44444-1572
Phone (330) 872-1371

National Provider Directory

National Provider Directory

Locations

115 W Broad St
Ste A
Newton Falls, OH 44444
Phone (330) 872-1371

Practitioners & affiliated clinicians

Practitioners 1

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Falls, OH

Sources for this page

  • 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.