Organization Active NPI

Ew 2020 LLC

  • Optometrist
  • Cleveland, OH
National Provider Identifier
1265970818
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EW 2020 LLC
Practice address
200 Public SQ
Suite 219
Cleveland, OH 44114-2316
Phone
(216) 621-2815
Fax
(216) 621-1745
NPI assigned
Feb 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Authorized official

Name
Mr. Craig D. Miller, O.D.
Title
Ceo
Phone
(614) 571-7177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OH Primary

Addresses

Primary practice location

200 Public SQ
Suite 219
Cleveland, OH 44114-2316

Mailing address

83 N Hamilton Rd
Gahanna, OH 43230-2601
Phone (614) 471-7177

Other names 1

  • Eyewear 20/20 Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550188800000",
    "number": "1265970818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 N HAMILTON RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302601",
            "telephone_number": "614-471-7177",
            "fax_number": "614-471-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PUBLIC SQ",
            "address_2": "SUITE 219",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441142316",
            "telephone_number": "216-621-2815",
            "fax_number": "216-621-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EW 2020 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2019-02-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-571-7177",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyewear 20/20",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.