Fairview Eye Center, Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

556859 Issued in OH

Legal business name

FAIRVIEW EYE CENTER, INC

Doing business as

The Eye Centers

Practice address

21375 Lorain Rd
Fairview Park, OH 44126-2122

Phone

(440) 333-7346

Fax

(440) 333-0273

NPI assigned

Jan 12, 2006

Last updated

Oct 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Theodore E Loizos, MDNPI 1497836290

Title

President

Phone

(440) 333-7346

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• THE EYE CENTERS Doing business as

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Tax ID family

Fairview Eye Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Fairview Eye Center

  dba Lakewood Eye Center

  • Ophthalmology Physician
  • Lakewood, OH
  • NPI 1164492591
  NPD tax ID

Locations

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Fairview Eye Center

  dba Lakewood Eye Center

  • Ophthalmology Physician
  • Lakewood, OH
  • NPI 1164492591
  NPPES parent name
• Fairview Eye Center, Inc

  dba Eye Center of Middleburg Heights

  • Ophthalmology Physician
  • Cleveland, OH
  • NPI 1730694142
  NPPES parent name
• Fairview Eye Center, Inc.

  dba Eye Center of North Olmsted

  • Ophthalmology Physician
  • North Olmsted, OH
  • NPI 1487193652
  NPPES parent name

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theodore Emmanuel Loizos, MD

  • Ophthalmology Physician
  • Fairview Park, OH
  • NPI 1497836290
  Medicare reassignment Care Compare group NPD Authorized official
• Elizabeth Bedell, OD

  • Optometrist
  • Cincinnati, OH
  • NPI 1932874161
  Medicare reassignment Care Compare group NPD
• Joshua William Buzzard, MD

  • Ophthalmology Physician
  • Middleburg Heights, OH
  • NPI 1912535733
  Medicare reassignment Care Compare group NPD
• Alyssa Mary Darrah, MD

  • Ophthalmology Physician
  • Middleburg Heights, OH
  • NPI 1114423563
  Medicare reassignment Care Compare group NPD
• Carla M Krebs, MD

  • Ophthalmology Physician
  • Fairview Park, OH
  • NPI 1487659066
  Medicare reassignment Care Compare group NPD
• Kaitlyn Marie Luchansky, O.D.

  • Optometrist
  • Boardman, OH
  • NPI 1255871109
  Medicare reassignment Care Compare group NPD
• Phillip John Michalos, O.D.

  • Optometrist
  • Cleveland, OH
  • NPI 1487686051
  Medicare reassignment Care Compare group NPD
• Gwen Giannini Miller, O.D.

  • Optometrist
  • Lakewood, OH
  • NPI 1770500274
  Medicare reassignment Care Compare group NPD
• Shane Seipel, M.D.

  • Cornea and External Diseases Specialist Physician
  • Fairview Park, OH
  • NPI 1780117945
  Medicare reassignment Care Compare group NPD
• David A Delprincipe, OD

  • Optometrist
  • Amherst, OH
  • NPI 1679514756
  Medicare reassignment NPD
• Lediana Goduni, MD

  • Retina Specialist (Ophthalmology) Physician
  • Beachwood, OH
  • NPI 1366897621
  Medicare reassignment NPD
• Alexander P Kosmidis, MD

  • Ophthalmology Physician
  • Fairview Park, OH
  • NPI 1598920407
  Medicare reassignment NPD

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1275512709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21375 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262122",
            "telephone_number": "440-333-7346",
            "fax_number": "440-333-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21375 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262122",
            "telephone_number": "440-333-7346",
            "fax_number": "440-333-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW EYE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-12",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "LOIZOS",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-333-7346",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "556859",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "556859",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "556859",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTAR DME",
            "identifier": "0769770001",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0826931",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID LEGACY",
            "identifier": "CJ0366",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1382523",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE EYE CENTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Eidom, OD
• Jessica Sue Eidson, RN
• Anesah Elhaddi, M.D.
• John P Ellis, DPM
• Sarah Michelle Everett, PA-C
• Fairview Park Chiropractic Center, Inc.
• Fairview Park City School District
• Hannah Farley, LSW
• Matthew Farrell, LCDC, PRS
• Amber Fisher

• Ophthalmology Physician in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.