Active NPI
Karen Lynn Wallo, O.D.
- Optometrist
- Parma, OH
National Provider Identifier
1013060748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4785
- 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
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 | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4785 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jodi L Rowson and Associates Inc | Optometrist | Current | 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.
-
- Optometrist
- North Olmsted, OH
- NPI 1134399181
-
- Eyewear Supplier
- Simpsonville, SC
- NPI 1699571166
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.