Individual provider Active NPI

Erwin Allen Jay, OD

  • Optometrist
  • Richmond Heights, OH
National Provider Identifier
1235276379
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2404 Issued in OH
Practice address
5194 Wilson Mills Road
Richmond Heights, OH 44143-3006
Phone
(440) 461-2500
Fax
(440) 461-2588
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2404 OH Primary

Addresses

Primary practice location

5194 Wilson Mills Road
Richmond Heights, OH 44143-3006

Mailing address

5194 Wilson Mills Road
Richmond Heights, OH 44143-3006
Phone (440) 461-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2404OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia J. Jemiola, O.D., Inc. PastSince Oct 1, 2014 Accepting new patients
Cynthia J. Jemiola, O.D., Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235276379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5194 WILSON MILLS ROAD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441433006",
            "telephone_number": "440-461-2500",
            "fax_number": "440-461-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5194 WILSON MILLS ROAD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441433006",
            "telephone_number": "440-461-2500",
            "fax_number": "440-461-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAY",
        "first_name": "ERWIN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "2404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.