Westgate Optometry LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OH3420 Issued in OH

Legal business name

WESTGATE OPTOMETRY LLC

Practice address

3580 Westgate
Fairview Park, OH 44126-1300

Phone

(440) 356-4020

Fax

(866) 425-2239

NPI assigned

Dec 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Richard E. Hults, O.D.NPI 1629146972

Title

Presiiident

Phone

(330) 697-4748

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 6

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

• Matthew Eidom, OD

  • Optometrist
  • Fairview Park, OH
  • NPI 1801588967
  Medicare reassignment Care Compare group NPD
• Richard E. Hults, O.D.

  • Optometrist
  • Akron, OH
  • NPI 1629146972
  Medicare reassignment NPD Authorized official
• Bernadette Sipple, O.D.

  • Optometrist
  • Fairview Park, OH
  • NPI 1821164310
  Medicare reassignment Care Compare group NPD
• Paige Knapp, O.D.

  • Optometrist
  • Fairview Park, OH
  • NPI 1730255225
  Medicare reassignment NPD
• Erin Leigh Meffan, OD

  • Optometrist
  • Uniontown, OH
  • NPI 1669945739
  Medicare reassignment NPD
• Ami Patel, O.D.

  • Optometrist
  • Fairlawn, OH
  • NPI 1477984730
  Medicare reassignment NPD

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1356749683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 WESTGATE",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441261300",
            "telephone_number": "440-356-4020",
            "fax_number": "866-425-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 WESTGATE",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441261300",
            "telephone_number": "440-356-4020",
            "fax_number": "866-425-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTGATE OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "HULTS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIIIDENT",
        "authorized_official_telephone_number": "330-697-4748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH3420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Weight, D.C.
• Samantha Weisman
• Megan Wellman, M.A., PSY.S.
• West Side Cardiology Assoc., Inc.
• Malia R West, CNP
• Westshore Advanced Medicine Inc
• Westshore Primary Care Assoc., Inc.
• Fred White
• Allison Widman, OTR/L
• Joshua Paul Wilkes, CDCA

• Optometrist in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.