NPIMap

Organization Active NPI

Eyetique Inc

  • Optometrist
  • Woodmere, OH
National Provider Identifier
1265861330
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYETIQUE INC
Practice address
28699 Chagrin Blvd
Suite 400
Woodmere, OH 44122
Phone
(216) 514-3002
Fax
(216) 514-1483
NPI assigned
Nov 8, 2013
Last updated
Jul 15, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
EYETIQUE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Authorized official

Name
Cathy L Short
Title
Credentialing Manager
Phone
(618) 462-9818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

28699 Chagrin Blvd
Suite 400
Woodmere, OH 44122

Mailing address

2242 Murray Ave
Pittsburgh, PA 15217-2308
Phone (412) 422-5300

National Provider Directory

National Provider Directory
Tax ID family
Eyetique2 organizations share this tax ID, including this one
Part of
Eyetique Corporation

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1265861330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2242 MURRAY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172308",
            "telephone_number": "412-422-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28699 CHAGRIN BLVD",
            "address_2": "SUITE 400",
            "city": "WOODMERE",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-514-3002",
            "fax_number": "216-514-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYETIQUE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYETIQUE INC",
        "enumeration_date": "2013-11-08",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "618-462-9818"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.