Organization Active NPI

Ernest B. Brazina, O. D. Inc.

  • Optometrist
  • North Olmsted, OH
National Provider Identifier
1174672489
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3397 T003 Issued in OH
Legal business name
ERNEST B. BRAZINA, O. D. INC.
Practice address
23150 Lorain Rd
North Olmsted, OH 44070-1620
Phone
(440) 716-1330
Fax
(440) 779-9685
NPI assigned
Jan 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ernest B. Brazina, O. D.NPI 1386608800
Title
President
Phone
(440) 716-1330

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 3397 T003 OH Primary

Addresses

Primary practice location

23150 Lorain Rd
North Olmsted, OH 44070-1620

Mailing address

23150 Lorain Rd
North Olmsted, OH 44070-1620
Phone (440) 716-1330

National Provider Directory

National Provider Directory

Locations

23150 Lorain Rd
North Olmsted, OH 44070
Phone (440) 716-1330

Practitioners & affiliated clinicians

Practitioners 3

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174672489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23150 LORAIN RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440701620",
            "telephone_number": "440-716-1330",
            "fax_number": "440-779-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23150 LORAIN RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440701620",
            "telephone_number": "440-716-1330",
            "fax_number": "440-779-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNEST B. BRAZINA, O. D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRAZINA",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-716-1330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3397 T003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.