Individual provider Active NPI

Michael D Schloss, OD

  • Optometrist
  • Cleveland, OH
National Provider Identifier
1013190867
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3145T638 Issued in OH
Practice address
14433 Cedar Rd
Cleveland, OH 44121-3309
Phone
(216) 291-1255
Fax
(216) 291-6877
NPI assigned
Dec 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3145T638 OH Primary

Addresses

Primary practice location

14433 Cedar Rd
Cleveland, OH 44121-3309

Mailing address

14433 Cedar Rd
Cleveland, OH 44121-3309
Phone (216) 291-1255

Other identifiers 1

IdentifierTypeStateIssuer
0345371MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3145OHMDAdult Development & Aging Psychologist
3145T638OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc Past Accepting new patients
Northern Ohio Eye Consultants Inc Optometrist Past Accepting new patients

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": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1013190867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14433 CEDAR RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441213309",
            "telephone_number": "216-291-1255",
            "fax_number": "216-291-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14433 CEDAR RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441213309",
            "telephone_number": "216-291-1255",
            "fax_number": "216-291-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLOSS",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-14",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3145T638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0345371",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.