Organization Active NPI

Western Reserve Vision Care, Inc.

  • Optometrist
  • Hudson, OH
National Provider Identifier
1174619373
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3694 Issued in OH
Legal business name
WESTERN RESERVE VISION CARE, INC.
Practice address
5992 Darrow Rd.
Hudson, OH 44236
Phone
(330) 650-9599
Fax
(330) 650-2139
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Authorized official

Name
Dr. Mary Jo Stiegemeier, O.D.
Title
President / Ceo
Phone
(330) 650-9599

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 3694 OH Primary

Addresses

Primary practice location

5992 Darrow Rd.
Hudson, OH 44236

Mailing address

5992 Darrow Rd.
Hudson, OH 44236
Phone (330) 650-9599

Other names 1

  • Western Reserve Vision Care Hudson Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1174619373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5992 DARROW RD.",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "44236",
            "telephone_number": "330-650-9599",
            "fax_number": "330-650-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5992 DARROW RD.",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "44236",
            "telephone_number": "330-650-9599",
            "fax_number": "330-650-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN RESERVE VISION CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "STIEGEMEIER",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "330-650-9599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Reserve Vision Care Hudson",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hudson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.