Organization Active NPI

Kovesdy Family Eyecare, Inc.

  • Eyewear Supplier
  • Westlake, OH
National Provider Identifier
1386813723
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
4293 Issued in OH
Legal business name
KOVESDY FAMILY EYECARE, INC.
Practice address
25125 Detroit Rd
Suite 100
Westlake, OH 44145-2547
Phone
(440) 455-1160
Fax
(440) 455-1194
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Authorized official

Name
Dr. Jeffrey David Kovesdy, O.D.
Title
Owner/Optometrist
Phone
(440) 455-1160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 4293 OH Primary

Addresses

Primary practice location

25125 Detroit Rd
Suite 100
Westlake, OH 44145-2547

Mailing address

25125 Detroit Rd
Suite 100
Westlake, OH 44145-2547
Phone (440) 455-1160

National Provider Directory

National Provider Directory

Locations

17730 Lorain Ave
Ste 8
Cleveland, OH 44111
Phone (216) 252-5090

25125 Detroit Rd
Ste 100
Westlake, OH 44145
Phone (216) 293-0282

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1386813723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25125 DETROIT RD",
            "address_2": "SUITE 100",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452547",
            "telephone_number": "440-455-1160",
            "fax_number": "440-455-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25125 DETROIT RD",
            "address_2": "SUITE 100",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452547",
            "telephone_number": "440-455-1160",
            "fax_number": "440-455-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOVESDY FAMILY EYECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "KOVESDY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "440-455-1160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "4293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.