Individual provider Active NPI

Linda Marie Sedlacek, O.D.

  • Optometrist
  • Stow, OH
National Provider Identifier
1265572549
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3787 T643 Issued in OH
Practice address
4153 Bridgewater Pkwy
Stow, OH 44224-6191
Phone
(330) 922-4393
Fax
(330) 922-5901
NPI assigned
Feb 7, 2007
Last updated
Feb 11, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3787 T643 OH Primary

Addresses

Primary practice location

4153 Bridgewater Pkwy
Stow, OH 44224-6191

Mailing address

4153 Bridgewater Pkwy
Stow, OH 44224-6191
Phone (330) 922-4393

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040216000170 OH Practitioner - Optometry 9638064124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Linda M Sedlacek O.D. and Associates IncGroup PAC ID 8123002458, 2 clinicians

Practice addresses (Care Compare)

4153 Bridgewater Pkwy
Stow, OH 44224-6191
Phone (330) 922-4393

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3787 T643OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Linda M Sedlacek O.D. & Associates Inc Optometrist CurrentSince Mar 7, 2002 Accepting new patients

Locations

4153 Bridgewater Pkwy
Stow, OH 44224
Phone (330) 922-4393

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1265572549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4153 BRIDGEWATER PKWY",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442246191",
            "telephone_number": "330-922-4393",
            "fax_number": "330-922-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4153 BRIDGEWATER PKWY",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442246191",
            "telephone_number": "330-922-4393",
            "fax_number": "330-922-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDLACEK",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3787  T643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

Verify at the official NPI Registry.