Organization Active NPI

Oic Integrative Optometry LLC

  • Optometrist
  • Cleveland, OH
National Provider Identifier
1023744182
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OIC INTEGRATIVE OPTOMETRY LLC
Practice address
812 Huron Rd E
Cleveland, OH 44115-1123
Phone
(216) 781-7900
NPI assigned
Jul 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Dr. Nancy Cozzi, ODNPI 1194955310
Title
Optometrist
Phone
(314) 477-7278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

812 Huron Rd E
Cleveland, OH 44115-1123

Mailing address

4602 New Milford Rd
Rootstown, OH 44272-9780
Phone (314) 477-7278

Other identifiers 1

IdentifierTypeStateIssuer
0485517MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://www.jeroldoptical.net

National Provider Directory

National Provider Directory
Tax ID family
Oic Integrative Optometry LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1023744182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 NEW MILFORD RD",
            "city": "ROOTSTOWN",
            "state": "OH",
            "postal_code": "442729780",
            "telephone_number": "314-477-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 HURON RD E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441151123",
            "telephone_number": "216-781-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OIC INTEGRATIVE OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "COZZI",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "314-477-7278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0485517",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://www.jeroldoptical.net",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "812 Huron Rd E",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441151123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 29, 2022; 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.