Active NPI
Dmitriy Shvets
- Optician
- Mayfield HTS, OH
National Provider Identifier
1386799179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 10 S
- Practice address
- 5852 Mayfield Rd
Mayfield HTS, OH 44124-2903 - Phone
- (440) 684-0800
- Fax
- (440) 684-9066
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 10 S | OH | Primary |
Addresses
Primary practice location
5852 Mayfield Rd
Mayfield HTS, OH 44124-2903
Mailing address
5852 Mayfield Rd
Mayfield HTS, OH 44124-2903
Phone (440) 684-0800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2347197 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10 S | OH | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyezone | 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 and National Provider Directory roles.
-
- Eyewear Supplier
- Mayfield HTS, OH
- NPI 1265692586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1386799179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5852 MAYFIELD RD",
"city": "MAYFIELD HTS",
"state": "OH",
"postal_code": "441242903",
"telephone_number": "440-684-0800",
"fax_number": "440-684-9066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5852 MAYFIELD RD",
"city": "MAYFIELD HTS",
"state": "OH",
"postal_code": "441242903",
"telephone_number": "440-684-0800",
"fax_number": "440-684-9066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHVETS",
"first_name": "DMITRIY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "OH",
"license": "10 S",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2347197",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mayfield HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.