Organization Active NPI

Stephen F Sasala OD & Assoc Inc

  • Optometrist
  • Cleveland, OH
National Provider Identifier
1295054856
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
40406 Issued in OH
Legal business name
STEPHEN F SASALA OD & ASSOC INC
Practice address
800 Huron Rd E
Cleveland, OH 44115-1121
Phone
(216) 781-7900
Fax
(216) 781-0554
NPI assigned
May 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Dr. Stephen Frederick Sasala, OD
Title
President
Phone
(216) 781-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 40406 OH Primary

Addresses

Primary practice location

800 Huron Rd E
Cleveland, OH 44115-1121

Mailing address

800 Huron Rd E
Cleveland, OH 44115-1121
Phone (216) 781-7900

Other identifiers 1

IdentifierTypeStateIssuer
0940281MedicaidOH

National Provider Directory

National Provider Directory

Locations

701 Richmond Rd
Richmond HTS, OH 44143
Phone (440) 449-5102

NPI Registry JSON

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1295054856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HURON RD E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441151121",
            "telephone_number": "216-781-7900",
            "fax_number": "216-781-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HURON RD E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441151121",
            "telephone_number": "216-781-7900",
            "fax_number": "216-781-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN F SASALA OD & ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-21",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "SASALA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-781-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "40406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0940281",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 27, 2010; 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.