ARCHBOLD EYE CARE LLC — NPI 1790185445 (Licensed & Credentialed Eye and Vision Service Providers — Optometrist, Corneal and Contact Management in ARCHBOLD, OH)

CMS-1500 Box 24J / 33a • NPI

1790185445

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

152WC0802X (CMS 41)

Licensed & Credentialed Eye and Vision Service Providers — Optometrist, Corneal and Contact Management

Box 32 Service Location & ZIP+4

700 STRYKER ST, ARCHBOLD, OH, 43502-1037

✓ 9-Digit EDI 837 ZIP+4 (43502-1037)

Practice Phone & Referral Fax

(419) 445-0436

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1790185445 (ARCHBOLD EYE CARE LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1790185445` (NPI-2 Organization / Facility)
Provider / Legal Name	ARCHBOLD EYE CARE LLC
Plain-English Specialty	Licensed & Credentialed Eye and Vision Service Providers — Optometrist, Corneal and Contact Management NUCC Code: `152WC0802X` (Optometrist, Corneal and Contact Management)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	700 STRYKER ST, ARCHBOLD, OH, 43502-1037
Practice Telephone / Fax	Tel: (419) 445-0436
Administrative Mailing Address	PO BOX 93, ARCHBOLD, OH, 43502-0093
Enumeration & Last Sync	Enumerated: 2014-08-31 \| CMS Record Updated: 2014-09-16
Authorized Official	ANDREW EMCH (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

700 STRYKER ST, ARCHBOLD, OH, 43502-1037

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Plain-English Taxonomy & CMS Crosswalk (152WC0802X)

What Does Taxonomy Code 152WC0802X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 152WC0802X translates to:
"Licensed & Credentialed Eye and Vision Service Providers — Optometrist, Corneal and Contact Management"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 41 (Optometry)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Optometrist, Corneal and Contact Management for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ARCHBOLD EYE CARE LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`152WC0802X` — Optometrist, Corneal and Contact Management Plain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist, Corneal and Contact Management	State: OH \| License: `5789` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ARCHBOLD EYE CARE LLC (NPI #1790185445)