Organization Active NPI

Dr. Allison Landes, LLC

Doing business as Landes Eye Associates

  • Ophthalmology Physician
  • Fairlawn, OH
National Provider Identifier
1316390156
Registry record updated Jul 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
096703 Issued in OH
Legal business name
DR. ALLISON LANDES, LLC
Doing business as
Landes Eye Associates
Practice address
2680 W Market St
Fairlawn, OH 44333-4206
Phone
(330) 864-3937
NPI assigned
Jul 17, 2016
Last updated
Jul 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2016

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

Authorized official

Name
Dr. Allison Landes, M.D.NPI 1336330190
Title
Physician
Phone
(330) 715-4897

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 096703 OH Primary

Addresses

Primary practice location

2680 W Market St
Fairlawn, OH 44333-4206

Mailing address

2680 W Market St
Fairlawn, OH 44333-4206

Other names 1

  • Landes Eye Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160912001391 OH Part B Supplier - Clinic/Group Practice 5890081293 Receives reassigned benefits from 2 practitioners
Practice locations: Fairlawn, OH

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2271064Landes Eye Associates2680 West Market Street, Fairlawn, OH 44333Certificate of waiverOct 25, 2026

National Provider Directory

National Provider Directory

Locations

2680 W Market St
Fairlawn, OH 44333
Phone (234) 867-5001

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1468713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468713600000",
    "number": "1316390156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 W MARKET ST",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 W MARKET ST",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334206",
            "telephone_number": "330-864-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ALLISON LANDES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-17",
        "last_updated": "2016-07-17",
        "status": "A",
        "authorized_official_last_name": "LANDES",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "330-715-4897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "096703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Landes Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairlawn, OH

Sources for this page

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