Mogadore Eyecare, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MOGADORE EYECARE, LLC

Practice address

67 S Cleveland Ave
Mogadore, OH 44260-1514

Phone

(330) 551-5024

Fax

(330) 551-5220

NPI assigned

Aug 30, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Shannon Nicole Honeycutt, ODNPI 1740757517

Title

Optometrist

Phone

(330) 551-5024

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Nicole Honeycutt, OD

  • Optometrist
  • Mogadore, OH
  • NPI 1740757517
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1225686306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 S CLEVELAND AVE",
            "city": "MOGADORE",
            "state": "OH",
            "postal_code": "442601514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 S CLEVELAND AVE",
            "city": "MOGADORE",
            "state": "OH",
            "postal_code": "442601514",
            "telephone_number": "330-551-5024",
            "fax_number": "330-551-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOGADORE EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "HONEYCUTT",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "330-551-5024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor McCutcheon, R.D., L.D.
• Jenny Louise Menning, MS, RD, LDN
• Brigette Amber Miller
• Brianna Marie Minard
• Mogadore Dental Group
• Mogadore Family Dentistry
• Carlee Morgan, RPH
• Timothy Morris
• Lori Mowery, COTA/L
• Dennis James Nolan, DDS

• Optometrist in Mogadore, OH
• Providers in Mogadore, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.