Individual provider Active NPI

Ronald J. Trepke, O.D.

  • Optometrist
  • Strongsville, OH
National Provider Identifier
1164512513
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4323/T120 Issued in OH
Practice address
20914 Drake Rd
Strongsville, OH 44149-5851
Phone
(440) 878-0122
Fax
(440) 878-1068
NPI assigned
Oct 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4323/T120 OH Primary

Addresses

Primary practice location

20914 Drake Rd
Strongsville, OH 44149-5851

Mailing address

20914 Drake Rd
Strongsville, OH 44149-5851
Phone (440) 878-0122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091215000245 OH Practitioner - Optometry 8527108067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trepke Vision Care, Inc.Group PAC ID 6800936345, 2 clinicians

Practice addresses (Care Compare)

20914 Drake Rd
Strongsville, OH 44149-5851
Phone (440) 878-0122

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4323/T120OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Trepke Vision Care, Inc. Optometrist CurrentSince Oct 1, 2009 Accepting new patients

Locations

20914 Drake Rd
Strongsville, OH 44149
Phone (440) 878-0122

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164512513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20914 DRAKE RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441495851",
            "telephone_number": "440-878-0122",
            "fax_number": "440-878-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20914 DRAKE RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441495851",
            "telephone_number": "440-878-0122",
            "fax_number": "440-878-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREPKE",
        "first_name": "RONALD",
        "middle_name": "J.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4323/T120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

Verify at the official NPI Registry.