Active NPI
Susan Ross, O.D.
- Optometrist
- Lakewood, OH
National Provider Identifier
1013051358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3491 T1509
- Practice address
- 18216 Sloane Ave
Lakewood, OH 44107-3110 - Phone
- (216) 521-2020
- Fax
- (216) 521-6088
- NPI assigned
- Feb 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3491 T1509 | OH | Primary |
Addresses
Primary practice location
18216 Sloane Ave
Lakewood, OH 44107-3110
Mailing address
29665 Cedar Rd
Mayfield Heights, OH 44124-4411
Phone (216) 521-2020
Other names 1
- Dr. Susan Diana Guzick-Ross
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3491 T1509 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeg Ohio Professional PC | Optometrist | Current | Accepting new patients |
| Aeg Ohio Professional PC | Optometrist | Current | Accepting new patients |
Locations
33541 Aurora Rd
Solon, OH 44139
Phone (440) 248-2020
28699 Chagrin Blvd
Ste 400
Woodmere, OH 44122
Phone (216) 514-3002
Networks
- OH PPO
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
- devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
- devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
- KY PPO
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
- KY PPO C-SNP
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Solon, OH
- NPI 1154980811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271721600000",
"number": "1013051358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29665 CEDAR RD",
"city": "MAYFIELD HEIGHTS",
"state": "OH",
"postal_code": "441244411",
"telephone_number": "216-521-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18216 SLOANE AVE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441073110",
"telephone_number": "216-521-2020",
"fax_number": "216-521-6088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2010-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "3491 T1509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "GUZICK-ROSS",
"middle_name": "DIANA",
"prefix": "DR.",
"credential": "O.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lakewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.