Individual provider Active NPI

Sandra Sedlacek, L.D.O.

  • Optician
  • Strongsville, OH
National Provider Identifier
1346564705
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
S.7413 Issued in OH
Practice address
17100 Royalton Rd
Strongsville, OH 44136-4441
Phone
(440) 238-9020
Fax
(440) 238-9121
NPI assigned
Mar 15, 2010
Last updated
Feb 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X S.7413 OH Primary

Addresses

Primary practice location

17100 Royalton Rd
Strongsville, OH 44136-4441

Mailing address

27380 Cook Rd Apt 79
Olmsted TWP, OH 44138-1098
Phone (440) 238-9020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S.7413OHMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Place, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1346564705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27380 COOK RD APT 79",
            "city": "OLMSTED TWP",
            "state": "OH",
            "postal_code": "441381098",
            "telephone_number": "440-238-9020",
            "fax_number": "440-238-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 ROYALTON RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441364441",
            "telephone_number": "440-238-9020",
            "fax_number": "440-238-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDLACEK",
        "first_name": "SANDRA",
        "credential": "L.D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "S.7413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.