Organization Active NPI

Wadsworth Eye Center

  • Ophthalmology Physician
  • Wadsworth, OH
National Provider Identifier
1275813685
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35085999 Issued in OH
Legal business name
WADSWORTH EYE CENTER
Practice address
195 Wadsworth Rd
Suite 304
Wadsworth, OH 44281-9504
Phone
(330) 247-2480
Fax
(330) 336-0099
NPI assigned
Aug 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Authorized official

Name
Andrea Lombardo
Title
Clinical Manager
Phone
(330) 247-2480

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 5652 OH
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 35085999 OH Primary

Addresses

Primary practice location

195 Wadsworth Rd
Suite 304
Wadsworth, OH 44281-9504

Mailing address

195 Wadsworth Rd
Suite 304
Wadsworth, OH 44281-9504
Phone (330) 247-2480

National Provider Directory

National Provider Directory

Locations

195 Wadsworth Rd
Ste 304
Wadsworth, OH 44281
Phone (330) 247-2480

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1275813685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 WADSWORTH RD",
            "address_2": "SUITE 304",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442819504",
            "telephone_number": "330-247-2480",
            "fax_number": "330-336-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 WADSWORTH RD",
            "address_2": "SUITE 304",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442819504",
            "telephone_number": "330-247-2480",
            "fax_number": "330-336-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADSWORTH EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "LOMBARDO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "330-247-2480"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5652",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35085999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadsworth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.