NPIMap

Individual provider Active NPI

Erin Marie Iley

  • Optician
  • Macedonia, OH
National Provider Identifier
1134815806
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
SC.06437 Issued in OH
Practice address
8160 Macedonia Commons Blvd
Macedonia, OH 44056-1843
Phone
(330) 468-0404
Fax
(330) 468-0211
NPI assigned
Apr 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1800X SC.6437 OH
OpticianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1800X SC.06437 OH Primary

Addresses

Primary practice location

8160 Macedonia Commons Blvd
Macedonia, OH 44056-1843

Mailing address

8160 Macedonia Commons Blvd
Macedonia, OH 44056-1843
Phone (330) 468-0404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SC.06437OHMDOptician
SC.6437OHMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1134815806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8160 MACEDONIA COMMONS BLVD",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440561843",
            "telephone_number": "330-468-0404",
            "fax_number": "330-468-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 MACEDONIA COMMONS BLVD",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440561843",
            "telephone_number": "330-468-0404",
            "fax_number": "330-468-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILEY",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "SC.6437",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "SC.06437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macedonia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.