NPIMap

Organization Active NPI

Berris Optical of University HTS Inc

  • Eyewear Supplier
  • Cleveland, OH
National Provider Identifier
1104084250
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
859 S Issued in OH
Legal business name
BERRIS OPTICAL OF UNIVERSITY HTS INC
Practice address
2183 S Green Rd
Cleveland, OH 44121-3313
Phone
(216) 381-1466
Fax
(216) 381-2829
NPI assigned
May 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Mr. William A. Berris, LIC OPTICIANNPI 1679690929
Title
VP / Optician
Phone
(216) 381-1466

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
Eyewear Supplier 332H00000X 859 S OH Primary

Addresses

Primary practice location

2183 S Green Rd
Cleveland, OH 44121-3313

Mailing address

2183 S Green Rd
Cleveland, OH 44121-3313
Phone (216) 381-1466

Other identifiers 1

IdentifierTypeStateIssuer
0121853MedicaidOH

Other names 1

  • BERRIS OPTICAL Doing business as

National Provider Directory

National Provider Directory

Locations

2183 S Green Rd
Cleveland Heights, OH 44121
Phone (216) 381-1466

Practitioners & affiliated clinicians

Practitioners 2

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": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1104084250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2183 S GREEN RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441213313",
            "telephone_number": "216-381-1466",
            "fax_number": "216-381-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2183 S GREEN RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441213313",
            "telephone_number": "216-381-1466",
            "fax_number": "216-381-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRIS OPTICAL OF UNIVERSITY HTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "BERRIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "VP / OPTICIAN",
        "authorized_official_telephone_number": "216-381-1466",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LIC OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "859 S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0121853",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BERRIS OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 9, 2008; 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.