Active NPI
Peter V. Mogyordy, O.D.
- Optometrist
- Westlake, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4481
- Practice address
- 26927 Detroit Rd
Westlake, OH 44145-2370 - Phone
- (440) 892-5367
- Fax
- (440) 249-5094
- NPI assigned
- Aug 24, 2005
- Last updated
- Jun 5, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4481 | OH | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 4481 | OH | |
| Pediatric Optometrist | 152WP0200X | 4481 | OH | |
| Occupational Vision Optometrist | 152WX0102X | 4481 | OH |
Addresses
Primary practice location
26927 Detroit Rd
Westlake, OH 44145-2370
Mailing address
26927 Detroit Rd
Westlake, OH 44145-2370
Phone (440) 892-5367
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, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17520 Madison Ave
Lakewood, OH 44107-3535
Phone (216) 228-3343
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleveland Vision Center II LLC | Optometrist | Current | Accepting new patients |
| Madison Eye Care Associates Inc | Optometrist | Current | Accepting new patients |
| Madison Eye Care of Port Clinton LLC | Optometrist | Current | Accepting new patients |
| Sue E. Van Dootingh OD | Past | Accepting new patients |
Locations
17520 Madison Ave
Lakewood, OH 44107
Phone (216) 228-3343
6204 Brookpark Rd
Parma, OH 44129
Phone (216) 351-6270
6390 Pearl Rd
Parma Heights, OH 44130
Phone (216) 291-3550
820 Jefferson St
Port Clinton, OH 43452
Phone (419) 732-2828
26927 Detroit Rd
Westlake, OH 44145
Phone (440) 892-5367
30588 Center Ridge Rd
Westlake, OH 44145
Phone (440) 892-5367
Interoperability endpoints
- drpete@madison-eye-care-assoc.direct.kno2fy.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Westlake, OH
- NPI 1255473005
-
dba Cleveland Vision Center
- Optometrist
- Parma Heights, OH
- NPI 1013225150
-
dba Madison Eye Care
- Optometrist
- Port Clinton, OH
- NPI 1427748243
-
- Optometrist
- Westlake, OH
- NPI 1154520294
-
- Durable Medical Equipment & Medical Supplies
- Port Clinton, OH
- NPI 1780853317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1043203078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26927 DETROIT RD",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441452370",
"telephone_number": "440-892-5367",
"fax_number": "440-249-5094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26927 DETROIT RD",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441452370",
"telephone_number": "440-892-5367",
"fax_number": "440-249-5094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOGYORDY",
"first_name": "PETER",
"middle_name": "V.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "4481",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "OH",
"license": "4481",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "OH",
"license": "4481",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "OH",
"license": "4481",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.