Organization Active NPI

Coast to Coast Vision LLC

Doing business as North Coast Optical

  • Optometrist
  • Madison, OH
National Provider Identifier
1114775947
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
COAST TO COAST VISION LLC
Doing business as
North Coast Optical
Practice address
6380 N Ridge Rd
Madison, OH 44057-2548
Phone
(440) 428-2172
NPI assigned
May 7, 2024
Last updated
May 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Ryan Zaidinski, ODNPI 1255952669
Title
Optometrist
Phone
(440) 749-5069

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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

6380 N Ridge Rd
Madison, OH 44057-2548

Mailing address

38639 Adkins Rd
Willoughby, OH 44094-7512
Phone (440) 749-5069

Other names 1

  • North Coast Optical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241104000703 OH Part B Supplier - Clinic/Group Practice 6901339605 Receives reassigned benefits from 2 practitioners
Practice locations: Madison, OH

National Provider Directory

National Provider Directory

Locations

6380 N Ridge Rd
Madison, OH 44057
Phone (216) 428-2172

Practitioners & affiliated clinicians

Practitioners 2

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": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1114775947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38639 ADKINS RD",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440947512",
            "telephone_number": "440-749-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6380 N RIDGE RD",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440572548",
            "telephone_number": "440-428-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST TO COAST VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "ZAIDINSKI",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "440-749-5069",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Coast Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.