1. Home
  2. Directory
  3. Ohio
  4. Fremont
  5. Optometrist
  6. NPI Profile

EYE CENTERS OF NORTHWEST OHIO LLC
NPI 1124284518
Optometrist in Fremont, OH

Active since August 05, 2008
2311 HAYES AVE, SUITE B, FREMONT, OH 43420(419) 334-8121(419) 332-9351 Get Directions Write a Review

NPPES record last updated: March 23, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eye Centers Of Northwest Ohio Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EYE CENTERS OF NORTHWEST OHIO LLC (NPI 1124284518) is a healthcare organization registered as an optometrist in Fremont, Ohio and active in the NPI registry since August 2008. The organization lists Greg J Derodes, President, as its authorized official.

NPPES Registry Identity

NPI1124284518
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameEYE CENTERS OF NORTHWEST OHIO LLC
Location Address2311 HAYES AVE, SUITE BFremont, OH 43420-2634
Mailing Address2311 Hayes Ave, Suite BFremont, OH 43420-2634 · (419) 334-8121 · Fax (419) 332-9351
Phone(419) 334-8121
Fax(419) 332-9351
Organization SubpartNo
Authorized OfficialGreg J DerodesPresident · (419) 334-8121
Enumeration DateAugust 5, 2008
Last NPPES UpdateMarch 23, 2009
✔ NPI 1124284518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
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.
2311 HAYES AVE, Fremont, OH 43420
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN9379171OH
Medicare NSC6153600001OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eye Centers Of Northwest Ohio Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Eye Centers Of Northwest Ohio LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Alexzandra Roth, OD
Optometry
NPI 1053978361
2311 HAYES AVE SUITE B
Fremont, OH 43420
(419) 334-8121
✔ PECOS✔ Accepts MedicareSame address
Gregory Derodes, O.D.
Optometry
NPI 1790876605
2311 HAYES AVE
Fremont, OH 43420
(419) 334-8121
✔ PECOS✔ Accepts MedicareSame address
Jason Kolodziejczyk, O.D.
Optometry
NPI 1124052626
2311 HAYES AVE
Fremont, OH 43420
(419) 334-8121
✔ PECOS✔ Accepts MedicareSame address
Stacy Rellinger, OD
Optometry
NPI 1134299209
2311 HAYES AVE
Fremont, OH 43420
(419) 334-8121
✔ PECOS✔ Accepts MedicareSame address
Susan Smith, MD
Ophthalmology
NPI 1922242213
2311 W HAYES AVE
Fremont, OH 43420
(419) 334-8121
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eye Centers Of Northwest Ohio LLC's NPI number?

The NPI number for Eye Centers Of Northwest Ohio LLC is 1124284518. It was assigned to this organization in the NPPES registry on August 5, 2008.

Where is Eye Centers Of Northwest Ohio LLC located?

Eye Centers Of Northwest Ohio LLC is located at 2311 Hayes Ave Suite B, Fremont, OH 43420. The listed phone number is (419) 334-8121.

What is Eye Centers Of Northwest Ohio LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Eye Centers Of Northwest Ohio LLC enrolled in Medicare?

Yes. Eye Centers Of Northwest Ohio LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eye Centers Of Northwest Ohio LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Eye Centers Of Northwest Ohio LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Optometry (4) and Ophthalmology (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Eye Centers Of Northwest Ohio LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Oscar Health Insurance and 1 other insurer list Eye Centers Of Northwest Ohio LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eye Centers Of Northwest Ohio LLC was last updated on March 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.