PROMEDICA CENTRAL PHYSICIANS LLC (NPI# 1871912410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871912410 |
| Entity Type | Organization |
| Organization Name | PROMEDICA CENTRAL PHYSICIANS LLC |
| Other Organization Name | PROMEDICA PHYSICIANS EYE CARE |
| Practice Address |
5700 Monroe St Suite 211 Sylvania OH 43560-2767 |
| Mailing Address |
1 Seagate Suite 800 Toledo OH 43604-1558 |
| Practice Telephone | 4197761004 |
| Practice Fax Number | 4197761020 |
| Mailing Telephone | 5675851997 |
| Mailing Fax Number | 4198247359 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2016-07-11 |
| Authorized Official Name | ANDREA R MARSHALL (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 5675851997 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156F00000X | Technician/Technologist | OH | Eye and Vision Services Providers | |
| 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 |
| 1023416849 | Promedica Central Physicians LLC | Ophthalmology | 60 Ashwood Dr, Tiffin, OH 44883-1908 | 2014-12-10 |
| Street Address |
5700 MONROE ST SUITE 211 |
| City | SYLVANIA |
| State | OH |
| Zip Code | 43560-2767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881692465 | Kent E Bishop | Obstetrics & Gynecology | 5700 Monroe St, Sylvania, OH 43560-2767 | 2005-07-08 |
| 1881200798 | Bernadine J Zirker | Nurse Practitioner | 5700 Monroe St, Sylvania, OH 43560-2767 | 2020-09-17 |
| 1831734615 | Ashley Lynn Good | Nurse Practitioner | 5700 Monroe St, Sylvania, OH 43560-2767 | 2019-11-15 |
| 1699204875 | Rachel Parker | Internal Medicine | 5700 Monroe St, Sylvania, OH 43560-2767 | 2017-06-09 |
| 1578007456 | Derik S Vincent | Nurse Practitioner | 5700 Monroe St, Suite 209, Sylvania, OH 43560-2767 | 2016-12-12 |
| 1295188647 | Danielle M Pietraszak | Nurse Practitioner | 5700 Monroe St, Suite 209, Sylvania, OH 43560-2767 | 2016-07-21 |
| 1013360510 | Amy Cramer | Nurse Practitioner | 5700 Monroe St, Suitie 111, Sylvania, OH 43560-2767 | 2016-07-20 |
| 1730544511 | Promedica Central Physicians LLC | Clinic/Center | 5700 Monroe St, Sylvania, OH 43560-2767 | 2015-12-22 |
| 1861886525 | Pharmacy Counter, LLC | Durable Medical Equipment & Medical Supplies | 5700 Monroe St, Suite112, Sylvania, OH 43560-2767 | 2015-03-20 |
| 1568740454 | Amber Rychener | Nurse Practitioner | 5700 Monroe St, Suite 303, Sylvania, OH 43560-2767 | 2011-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332732 | Jonelyn Hutchinson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5628 Fox Hollow Ct, Sylvania, OH 43560 | 2020-10-07 |
| 1285190611 | Karen Marie Mccartney | Occupational Therapy Assistant | Charter of Oak, 6805 Sylvania, Sylvainia, OH 43560 | 2019-02-11 |
| 1063936136 | Christina Cousino | Family Medicine | 7228 Ridgeland Rd, Sylvania, OH 43560 | 2017-08-01 |
| 1053858159 | Scott Campbell | Counselor | 5808 Monroe St Suite A2, Sylvania, OH 43560 | 2017-01-26 |
| 1932658549 | Trilogy Healthcare of Sylvania LLC | Skilled Nursing Facility | 5351 Mitchaw Road, Sylvania, OH 43560 | 2016-09-23 |
| 1730546300 | Ashley Lynn Sendelbach | Speech-Language Pathologist | 4747 N. Holland Sylvania Rd., Sylvania, OH 43560 | 2016-01-27 |
| 1881078533 | Khader Mustafa | Internal Medicine | 5700 Monroe St Unit 202, Sylvania, OH 43560 | 2015-07-13 |
| 1013391903 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 2631 Davidson Drive, Toledo, OH 43560 | 2015-07-10 |
| 1104212596 | Emily Elyse Miller | Speech-Language Pathologist | 4121 King Road, Maumee, OH 43560 | 2015-04-13 |
| 1750706404 | Victoria Davis | Speech-Language Pathologist | 7962 Millford, Sylvania, OH 43560 | 2014-03-04 |
| Find all providers in zip 43560 | ||||
| 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 |
|---|---|---|---|---|
| 1760578454 | Rick A Cherry | Optometrist | 6600 Sylvani Ave, Suite 1a, Sylvania, OH 43560-3933 | 2006-10-04 |
| 1952310773 | Larry M. Bloom Od | Optometrist | 5600 Monroe St Ste 102, Sylvania, OH 43560-2731 | 2006-08-08 |
| 1053359463 | Andrea C Prinstein | Optometrist | 5577 Monroe St, Suite J, Sylvania, OH 43560-2549 | 2006-06-04 |
| 1750330635 | Carol L Brown | Optometrist | 8254 Mayberry Sq N, Sylvania, OH 43560 | 2006-05-09 |
| 1558367599 | Cindy Ann Pezo | Optometrist | 6433 Monroe St, Sylvania, OH 43560-1451 | 2005-06-23 |
| 1114480134 | Myeyedr Optometry of Ohio, LLC | Optometrist | 8254 Mayberry Sq N, Sylvania, OH 43560-9457 | 2019-04-08 |
| 1003088626 | Potter Optometry, Inc. | Optometrist | 8254 Mayberry Sq N, Sylvania, OH 43560-9457 | 2008-03-25 |
| 1144400763 | Larry Martin Bloom | Optometrist | 5600 Monroe St, Sylvania, OH 43560 | 2007-11-12 |
| 1528254653 | Franklin Park Vision LLC | Optometrist | 5577 Monroe St, Suite J, Sylvania, OH 43560-2549 | 2007-09-21 |
| 1538379011 | Preston G. Linley | Optometrist | 5700 Monroe St, Suite 211 Promedica Health and Wellness Center, Sylvania, OH 43560 | 2007-05-23 |
| Find all providers in SYLVANIA | ||||
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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.