Individual provider Active NPI

Isaac J Lindemuth, OD

  • Optometrist
  • Willoughby Hills, OH
National Provider Identifier
1396266375
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT006710 Issued in OH
Practice address
34302 Euclid Ave Unit 3
Willoughby Hills, OH 44094-3334
Phone
(440) 975-8200
NPI assigned
Jun 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT006710 OH Primary

Addresses

Primary practice location

34302 Euclid Ave Unit 3
Willoughby Hills, OH 44094-3334

Mailing address

PO Box 490
Richfield, OH 44286-0490
Phone (440) 975-8200

Other practice location 1

15050 S Springdale Ave
Middlefield, OH 44062
Phone (440) 632-0530

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1396266375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "RICHFIELD",
            "state": "OH",
            "postal_code": "442860490",
            "telephone_number": "440-975-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34302 EUCLID AVE UNIT 3",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440943334",
            "telephone_number": "440-975-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15050 S Springdale Ave",
            "address_purpose": "LOCATION",
            "city": "Middlefield",
            "state": "OH",
            "postal_code": "44062",
            "country_code": "US",
            "telephone_number": "440-632-0530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDEMUTH",
        "first_name": "ISAAC",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-29",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT006710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby Hills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.