Active NPI
Deborah Sunderland, LDO
- Optician
- Fairlawn, OH
National Provider Identifier
1144927872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- OP.11987SC
- Practice address
- 3750 W Market St
Fairlawn, OH 44333-4804 - Phone
- (330) 665-4268
- Fax
- (330) 666-8922
- NPI assigned
- Feb 13, 2023
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | OP.11987SC | OH | Primary |
Addresses
Primary practice location
3750 W Market St
Fairlawn, OH 44333-4804
Mailing address
3750 W Market St Unit I
Fairlawn, OH 44333-2474
Phone (330) 665-4268
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
| License | State | Type | Specialty |
|---|---|---|---|
| OP.11987SC | OH | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1144927872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 W MARKET ST UNIT I",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443332474",
"telephone_number": "330-665-4268",
"fax_number": "330-666-8922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 W MARKET ST",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443334804",
"telephone_number": "330-665-4268",
"fax_number": "330-666-8922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDERLAND",
"first_name": "DEBORAH",
"credential": "LDO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-13",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "OH",
"license": "OP.11987SC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.