Marymount Optical

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

MARYMOUNT OPTICAL

Practice address

12000 McCracken Rd Ste 101
Garfield HTS, OH 44125-2933

Phone

(216) 581-0470

Fax

(216) 581-0474

NPI assigned

Aug 28, 2012

Last updated

Aug 28, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

CLEVELAND OPHTHALMOLOGY LLCAs reported in NPPES

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

Authorized official

Name

Dr. Ildiko Kondray, M.D.

Title

Member

Phone

(216) 581-0470

Specialties & licenses 1

Addresses

Tax ID family

Cleveland Ophthalmology LLC2 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.

• Cleveland Ophthalmology, LLC

  • Ophthalmology Physician
  • Garfield Heights, OH
  • NPI 1891052999
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Cleveland Ophthalmology, LLC

  • Ophthalmology Physician
  • Garfield Heights, OH
  • NPI 1891052999
  NPPES parent name

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1326396060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 MCCRACKEN RD STE 101",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441252933",
            "telephone_number": "216-581-0470",
            "fax_number": "216-581-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 MCCRACKEN RD STE 101",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441252933",
            "telephone_number": "216-581-0470",
            "fax_number": "216-581-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYMOUNT OPTICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEVELAND OPHTHALMOLOGY LLC",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "KONDRAY",
        "authorized_official_first_name": "ILDIKO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "216-581-0470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgette L Martin
• Raymond Scott Martin, RPH
• Marvienne Talley
• Marymount Hospital
• Marymount Hospital
• Marymount Special Services
• Sean Marzett
• Monique Renee Mason-Alvies
• Daljinder K Mathaun, RN
• Shila Mathew, M.D.

• Optician in Garfield HTS, OH
• Providers in Garfield HTS, OH by specialty
• Optician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.