Organization Active NPI

Optometric Arts Inc

Doing business as Lakewood Vision Center, Dr. Susan Ross

  • Optometrist
  • Lakewood, OH
National Provider Identifier
1174667422
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3491 T1509 Issued in OH
Legal business name
OPTOMETRIC ARTS INC
Doing business as
Lakewood Vision Center, Dr. Susan Ross
Practice address
18216 Sloane Ave
Lakewood, OH 44107-3110
Phone
(216) 521-2020
NPI assigned
Feb 19, 2007
Last updated
May 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Authorized official

Name
Dr. Susan Ross, O.D.NPI 1013051358
Title
President
Phone
(216) 521-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3491 T1509 OH Primary

Addresses

Primary practice location

18216 Sloane Ave
Lakewood, OH 44107-3110

Mailing address

29665 Cedar Rd
Mayfield Heights, OH 44124-4411
Phone (216) 521-2020

Other names 1

  • Lakewood Vision Center, Dr. Susan Ross Doing business as

National Provider Directory

National Provider Directory

Locations

18216 Sloane Ave
Lakewood, OH 44107
Phone (216) 521-2020

Practitioners & affiliated clinicians

Practitioners 1

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": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1174667422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29665 CEDAR RD",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244411",
            "telephone_number": "216-521-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18216 SLOANE AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073110",
            "telephone_number": "216-521-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC ARTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-521-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3491  T1509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakewood Vision Center, Dr. Susan Ross",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.