NPIMap

Organization Active NPI

Northeast Ohio Eye Surgeons, Inc.

  • Ophthalmology Physician
  • Stow, OH
National Provider Identifier
1073693644
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
NORTHEAST OHIO EYE SURGEONS, INC.
Practice address
4277 Allen Rd
Stow, OH 44224-1053
Phone
(330) 928-0201
Fax
(330) 926-0201
NPI assigned
Oct 17, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Lawrence E Lohman, MDNPI 1154321859
Title
Physician/Director
Phone
(330) 678-0201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

4277 Allen Rd
Stow, OH 44224-1053

Mailing address

2013 State Route 59
Kent, OH 44240-4113
Phone (330) 678-0201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040820000817 OH Part B Supplier - Clinic/Group Practice 3577537042 Receives reassigned benefits from 43 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Warren, OH; Uniontown, OH; Streetsboro, OH; Stow, OH; Orrville, OH; North Canton, OH; Medina, OH; Kent, OH…
O20150423002000 OH DME Supplier - Physician - OphthalmologyDME Supplier - Physician - OptometristDME Supplier - Optician 3577537042 Practice locations: Stow, OH

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Northeast Ohio Eye Surg13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1073693644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 STATE ROUTE 59",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404113",
            "telephone_number": "330-678-0201",
            "fax_number": "330-678-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4277 ALLEN RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241053",
            "telephone_number": "330-928-0201",
            "fax_number": "330-926-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST OHIO EYE SURGEONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LOHMAN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN/DIRECTOR",
        "authorized_official_telephone_number": "330-678-0201",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.