Individual provider Active NPI

Karen Lynn Wallo, O.D.

  • Optometrist
  • Parma, OH
National Provider Identifier
1013060748
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4785 Issued in OH
Practice address
7969 W Ridgewood Dr
Parma, OH 44129-5516
Phone
(440) 884-3090
Fax
(440) 884-1046
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4785 OH Primary

Addresses

Primary practice location

7969 W Ridgewood Dr
Parma, OH 44129-5516

Mailing address

340 Lombardy Dr
Berea, OH 44017-1057
Phone (440) 239-1022

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101011000419 OH Practitioner - Optometry 3577755446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jodi L Rowson and Associates IncGroup PAC ID 3072426097, 5 clinicians

Practice addresses (Care Compare)

652 Great Northern Mall
North Olmsted, OH 44070-3306
Phone (440) 734-5037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4785OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jodi L Rowson and Associates Inc Optometrist CurrentSince Jun 18, 2013 Accepting new patients
Visionworks, Inc Past Accepting new patients

Locations

4762 Ridge Rd
Cleveland, OH 44144
Phone (216) 351-5300

652 Great Northern Mall
North Olmsted, OH 44070
Phone (440) 734-4896

7972 Day Dr
Parma, OH 44129
Phone (440) 885-1529

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013060748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 LOMBARDY DR",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171057",
            "telephone_number": "440-239-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7969 W RIDGEWOOD DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295516",
            "telephone_number": "440-884-3090",
            "fax_number": "440-884-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLO",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.