Individual provider Active NPI

Ihor G Zachary, M.D.

  • Specialist
  • Cleveland, OH
National Provider Identifier
1073540100
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35032239 Issued in OH
Practice address
7003 Pearl Rd
Suite 200
Cleveland, OH 44130-4941
Phone
(440) 888-2333
Fax
(440) 888-2335
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

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
Specialist 174400000X 35032239 OH Primary

Addresses

Primary practice location

7003 Pearl Rd
Suite 200
Cleveland, OH 44130-4941

Mailing address

7003 Pearl Rd
Suite 200
Cleveland, OH 44130-4941
Phone (440) 888-2333

Other identifiers 1

IdentifierTypeStateIssuer
0928803MedicaidOH

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100628000127 OH Practitioner - Ophthalmology 7214068865 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35032239OHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Eye Center, Inc CurrentSince Jan 1, 2018 Accepting new patients
Fairview Eye Center, Inc CurrentSince Jan 1, 2018 Accepting new patients
Optical Creations by Mea LLC PastSince Feb 1, 2013 Accepting new patients

Locations

21375 Lorain Rd
Fairview Park, OH 44126
Phone (440) 333-3060

7003 Pearl Rd
Ste 200
Middleburg Heights, OH 44130
Phone (216) 888-2333

7003 Pearl Rd
Middleburg Heights, OH 44130
Phone (440) 888-2333

Organizations & group practices 3

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073540100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 PEARL RD",
            "address_2": "SUITE 200",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441304941",
            "telephone_number": "440-888-2333",
            "fax_number": "440-888-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 PEARL RD",
            "address_2": "SUITE 200",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441304941",
            "telephone_number": "440-888-2333",
            "fax_number": "440-888-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARY",
        "first_name": "IHOR",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35032239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0928803",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.