Active NPI
Carol Ann Miske, O.D.
- Optometrist
- North Ridgeville, OH
National Provider Identifier
1225096696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3430
- Practice address
- 7079 Avon Belden Rd
North Ridgeville, OH 44039-3774 - Phone
- (440) 327-2020
- Fax
- (440) 327-5174
- NPI assigned
- May 3, 2006
- Last updated
- Jan 28, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3430 | OH | Primary |
Addresses
Primary practice location
7079 Avon Belden Rd
North Ridgeville, OH 44039-3774
Mailing address
7079 Avon Belden Rd
North Ridgeville, OH 44039-3774
Phone (440) 327-2020
Other names 1
- Dr. Carol Ann Novak
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110406000400 | OH | Practitioner - Optometry | 5890827877 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avon Eye Design, Inc. | Optometrist | Current | Accepting new patients |
Locations
7079 Avon Belden Rd
North Ridgeville, OH 44039
Phone (440) 327-2020
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Avon, OH
- NPI 1477993400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1225096696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7079 AVON BELDEN RD",
"city": "NORTH RIDGEVILLE",
"state": "OH",
"postal_code": "440393774",
"telephone_number": "440-327-2020",
"fax_number": "440-327-5174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7079 AVON BELDEN RD",
"city": "NORTH RIDGEVILLE",
"state": "OH",
"postal_code": "440393774",
"telephone_number": "440-327-2020",
"fax_number": "440-327-5174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISKE",
"first_name": "CAROL",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "3430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROL",
"last_name": "NOVAK",
"middle_name": "ANN",
"prefix": "DR.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in North Ridgeville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.