Michele Cianciolo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4189 T1653 Issued in OH

Practice address

28700 Chagrin Blvd Ste 11
Woodmere, OH 44122-4560

Phone

(216) 292-3937

Fax

(216) 292-5800

NPI assigned

Feb 10, 2007

Last updated

Apr 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family First Vision Care, LLC

  • Optometrist
  • Columbus, OH
  • NPI 1427462183
  Medicare reassignment NPD
• Chardon Family Eyecare LLC

  • Optometrist
  • Chardon, OH
  • NPI 1841697745
  Medicare reassignment
• Eyes on Chagrin Inc.

  • Optometrist
  • Woodmere, OH
  • NPI 1366787228
  Medicare reassignment
• Karen Malaski OD & Associates LLC

  • Optometrist
  • Woodmere, OH
  • NPI 1801151766
  NPD
• Oic Integrative Optometry LLC

  • Optometrist
  • Kent, OH
  • NPI 1891306890
  NPD (past)
• WC Eyecare LLC

  • Optometrist
  • Akron, OH
  • NPI 1205451010
  NPD (past)

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714176000000",
    "number": "1376684415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28700 CHAGRIN BLVD STE 11",
            "city": "WOODMERE",
            "state": "OH",
            "postal_code": "441224560",
            "telephone_number": "216-292-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28700 CHAGRIN BLVD STE 11",
            "city": "WOODMERE",
            "state": "OH",
            "postal_code": "441224560",
            "telephone_number": "216-292-3937",
            "fax_number": "216-292-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIANCIOLO",
        "first_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-10",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4198",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4189   T1653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Brockwell
• Glenda Leshowne Butler
• Stacey Calhoun
• Trina Vanessa Carrier, RN
• Farah Chohan, NP
• Martha Continenza
• Lavell Dabney
• Donna Mae Dalton, CNP
• Villa Janine Davis, LPN
• Denise Deluca, LPCC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.