PROMEDICA CENTRAL PHYSICIANS LLC (NPI# 1023416849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023416849 |
| Entity Type | Organization |
| Organization Name | PROMEDICA CENTRAL PHYSICIANS LLC |
| Other Organization Name | PROMEDICA PHYSICIANS EYE CARE |
| Practice Address |
60 Ashwood Dr Tiffin OH 44883-1908 |
| Practice Telephone | 7342435300 |
| Mailing Telephone | 7342435300 |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |
| Authorized Official Name | AMY L DWYER (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 4198247334 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | OH | Allopathic & Osteopathic Physicians | |
| Y | 152W00000X | Optometrist | OH | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| ProMedica Physicians Eye Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285168450 | Promedica Central Physicians LLC | Clinic/Center | 217 Golden Gate Plz, Maumee, OH 43537-2881 | 2017-04-14 |
| 1689072407 | Promedica Central Physicians LLC | Ophthalmology | 435 S Hawley St, Toledo, OH 43609-2344 | 2014-12-10 |
| 1043673700 | Promedica Central Physicians LLC | Clinic/Center | 6755 W Central Ave, Toledo, OH 43617-1109 | 2016-03-31 |
| 1255792024 | Promedica Central Physicians LLC | Clinic/Center | 6711 Airport Hwy, Holland, OH 43528-8104 | 2016-03-08 |
| 1730544511 | Promedica Central Physicians LLC | Clinic/Center | 5700 Monroe St, Sylvania, OH 43560-2767 | 2015-12-22 |
| 1316302359 | Promedica Central Physicians LLC | Clinic/Center | 25950 Dixie Hwy, Perrysburg, OH 43551-2983 | 2015-12-17 |
| 1568842813 | Promedica Central Physicians LLC | Clinic/Center | 3316 Navarre Ave, Suite F, Oregon, OH 43616-3314 | 2015-06-02 |
| 1962800672 | Promedica Central Physicians LLC | Ophthalmology | 3165 Navarre Ave, Oregon, OH 43616-4348 | 2014-12-11 |
| 1417355223 | Promedica Central Physicians LLC | Ophthalmology | 1180 N Monroe St, Monroe, MI 48162-3190 | 2014-12-10 |
| 1871912410 | Promedica Central Physicians LLC | Technician/Technologist | 5700 Monroe St, Suite 211, Sylvania, OH 43560-2767 | 2014-04-10 |
| Street Address |
60 ASHWOOD DR |
| City | TIFFIN |
| State | OH |
| Zip Code | 44883-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699759159 | Wade Earle Young | Ophthalmology | 60 Ashwood Dr, Tiffin, OH 44883-1908 | 2005-11-30 |
| 1205199528 | Blair Young Clark | Ophthalmology | 60 Ashwood Dr, Tiffin, OH 44883-1908 | 2012-06-21 |
| 1639111289 | Wade E Young Md Inc | Optometrist | 60 Ashwood Dr, Tiffin, OH 44883-1908 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255758 | Aaron Michael Konkle | Pharmacist | 2801 State Route 18, Tiffin, OH 44883 | 2020-11-04 |
| 1487286159 | Sandra Natole | Counselor | 200 St Francis Ave, Tiffin, OH 44883 | 2020-02-10 |
| 1083260988 | Trilogy Healthcare of Tiffin, LLC | Skilled Nursing Facility | 410 Fair Lane, Tiffin, OH 44883 | 2019-08-15 |
| 1801440250 | Kenneth Oswald | Counselor | 3055 S Sr 100, Tiffin, OH 44883 | 2019-07-24 |
| 1932764107 | Cuadra Pediatric Dentistry, LLC | Dentist | Cuadra Pediatric Dentistry, LLC, 486 Wentz Street, Tiffin, OH 44883 | 2019-05-03 |
| 1578033114 | Morgan Leann Fultz | Student in an Organized Health Care Education/Training Program | 310 East Market St, Tiffin, OH 44883 | 2018-11-27 |
| 1568989630 | Alicia Taylor Frank | Speech-Language Pathologist | 797 E. Clinton Tr 201, Tiffin, OH 44883 | 2017-08-29 |
| 1861938920 | Devin Erika Fry | Physical Therapy Assistant | 2550 Oh-100, Tiffin, OH 44883 | 2017-01-13 |
| 1407392608 | Erica Hoffman | Occupational Therapy Assistant | 2550 Oh 100, Tiffin, OH 44883 | 2017-01-11 |
| 1164973509 | Spencers Home Modifications | Contractor | 8 High Pointe Court, Tiffin, OH 44883 | 2016-10-20 |
| Find all providers in zip 44883 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699230581 | Washington Eye Care Center | Optometrist | 801 Buck St, Tiffin, IA 52340-9446 | 2019-02-05 |
| 1083804074 | Russell A Maringer Od Inc. | Optometrist | 455 E Market St, Suite F, Tiffin, OH 44883-1707 | 2007-07-26 |
| 1306991997 | Thomas Joseph Chambers | Optometrist | 2845 S State Route 100, Tiffin, OH 44883-8974 | 2007-01-24 |
| 1518035492 | Robert Gordon Shreiner | Optometrist | 190 South Washington St, Tiffin, OH 44883 | 2006-12-01 |
| 1750610887 | Barnes Eyecare Inc | Optometrist | 2801 W State Route 18, Tiffin, OH 44883-8950 | 2009-12-21 |
| 1306087184 | Thomas J Chambers Od Inc | Optometrist | 2845 S State Route 100, Tiffin, OH 44883-8974 | 2009-03-09 |
| 1255597688 | Paulus Eyecare Associates Inc | Optometrist | 455 E Market St, Tiffin, OH 44883-1769 | 2008-08-05 |
| 1639111289 | Wade E Young Md Inc | Optometrist | 60 Ashwood Dr, Tiffin, OH 44883-1908 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667789 | Myeyedr Optometry of Ohio, LLC | Optometrist | 1355 W Main St Ste A, Bellevue, OH 44811-9082 | 2020-10-20 |
| 1750980850 | Susan Ross Od Professional Corp | Optometrist | 3705 State Rd Ste 103, Ashtabula, OH 44004-5957 | 2020-10-20 |
| 1154920288 | Susan Ross Od Professional Corp | Optometrist | 28699 Chagrin Blvd Ste 400, Woodmere, OH 44122-4554 | 2020-10-20 |
| 1023617222 | Susan Ross Od Professional Corp | Optometrist | 803 N Lexington Springmill Rd, Ontario, OH 44906-1116 | 2020-10-20 |
| 1821602640 | Parnell Family Eye Care LLC | Optometrist | 214 Collins Ave, South Point, OH 45680-8501 | 2020-08-31 |
| 1346859816 | Andrea L. Fisher Od | Optometrist | 4693 Liberty Ave, Vermilion, OH 44089-3242 | 2020-07-30 |
| 1083223341 | National Vision Inc | Optometrist | 2665 West Market Street, Fairlawn, OH 44333 | 2020-07-23 |
| 1184232381 | Afra Hussain | Optometrist | 1460 Spring Meadows Dr Unit E100, Holland, OH 43528-9478 | 2020-07-14 |
| 1932727401 | Sarah Guillette | Optometrist | 215 W Bowery St Ste 4500, Akron, OH 44308-1070 | 2020-07-10 |
| 1841817954 | Ariel Q Wang | Optometrist | 27030 Cedar Rd Apt 212, Beachwood, OH 44122-1119 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.