Active NPI
Amy Dawn Titus, O.D.
- Optometrist
- Wickliffe, OH
National Provider Identifier
1073621264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5246
- Practice address
- 29610 Euclid Ave
Wickliffe, OH 44092-1829 - Phone
- (440) 943-1993
- Fax
- (440) 943-9595
- NPI assigned
- Aug 28, 2006
- 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 | 5246 | OH | Primary |
Addresses
Primary practice location
29610 Euclid Ave
Wickliffe, OH 44092-1829
Mailing address
29610 Euclid Ave
Wickliffe, OH 44092-1829
Phone (440) 943-1993
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2327986 | Medicaid | OH | |
| 341194090027 | Other | OH | CARE SOURCE |
| 000000238954 | Other | OH | ANTHEM |
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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
29610 Euclid Ave
Wickliffe, OH 44092-1829
Phone (440) 943-1993
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5246 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sid Savitt, Inc. | Optometrist | Current | Accepting new patients |
| Ellen L. Ellsworth, OD Inc | Optometrist | Past | Accepting new patients |
| Shawna L Franey, OD, Inc | Optometrist | Past | Accepting new patients |
| Sid Savitt, Optometrist, Inc. | Optometrist | Past | Accepting new patients |
Locations
29610 Euclid Ave
Wickliffe, OH 44092
Phone (440) 943-1993
Organizations & group practices 4
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
- Wickliffe, OH
- NPI 1205999778
-
- Optometrist
- Mentor, OH
- NPI 1568642890
-
- Optometrist
- Solon, OH
- NPI 1427387604
-
- Optometrist
- Solon, OH
- NPI 1033393715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188950400000",
"number": "1073621264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29610 EUCLID AVE",
"city": "WICKLIFFE",
"state": "OH",
"postal_code": "440921829",
"telephone_number": "440-943-1993",
"fax_number": "440-943-9595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29610 EUCLID AVE",
"city": "WICKLIFFE",
"state": "OH",
"postal_code": "440921829",
"telephone_number": "440-943-1993",
"fax_number": "440-943-9595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TITUS",
"first_name": "AMY",
"middle_name": "DAWN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-28",
"last_updated": "2007-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "5246",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2327986",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE SOURCE",
"identifier": "341194090027",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000238954",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wickliffe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.