Greater Cleveland Optometry LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

6181 Issued in OH

Legal business name

GREATER CLEVELAND OPTOMETRY LLC

Doing business as

Beachwood Family Eye Care

Practice address

3783 Green Rd
Beachwood, OH 44122-5705

Phone

(216) 815-1810

Fax

(216) 815-1811

NPI assigned

Feb 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Thatcher, O.D.NPI 1851520043

Title

Owner

Phone

(216) 815-1810

Specialties & licenses 1

Addresses

Other names 1

• Beachwood Family Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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

• Jennifer R Thatcher, O.D.

  • Optometrist
  • Beachwood, OH
  • NPI 1851520043
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1326387358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3288 BELVOIR BLVD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441223831",
            "telephone_number": "216-282-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3783 GREEN RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225705",
            "telephone_number": "216-815-1810",
            "fax_number": "216-815-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER CLEVELAND OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "THATCHER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-815-1810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beachwood Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.