Oic Integrative Optometry LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OIC INTEGRATIVE OPTOMETRY LLC

Practice address

14553 Madison Ave
Lakewood, OH 44107-4325

Phone

(216) 227-2020

Fax

(440) 368-0343

NPI assigned

Jul 29, 2022

Last updated

Jul 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nancy Cozzi, ODNPI 1194955310

Title

Optometrist

Phone

(314) 477-7278

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Oic Integrative Optometry LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Oic Integrative Optometry LLC

  • Optometrist
  • Cleveland, OH
  • NPI 1023744182
  NPD tax ID
• Oic Integrative Optometry LLC

  • Optometrist
  • Middlefield, OH
  • NPI 1811602030
  NPD tax ID
• Oic Integrative Optometry LLC

  • Optometrist
  • Kent, OH
  • NPI 1891306890
  NPD tax ID

Practitioners 1

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.

• Nancy Cozzi, O.D.

  • Optometrist
  • Akron, OH
  • NPI 1194955310
  NPD (past) Authorized official

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1336875483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 NEW MILFORD RD",
            "city": "ROOTSTOWN",
            "state": "OH",
            "postal_code": "442729780",
            "telephone_number": "314-477-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14553 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074325",
            "telephone_number": "216-227-2020",
            "fax_number": "440-368-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OIC INTEGRATIVE OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "COZZI",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "314-477-7278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0485517",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://eyensteinsoptical.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "14553 Madison Ave",
            "city": "Lakewood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441074325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.