Northern Ohio Medical Specialists,LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

NORTHERN OHIO MEDICAL SPECIALISTS,LLC

Doing business as

NOMS Eye

Practice address

32730 Walker Rd Ste J1
Avon Lake, OH 44012-2235

Phone

(440) 961-2040

Fax

(440) 961-2041

NPI assigned

Sep 22, 2017

Last updated

Jan 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joshua G Frederick

Title

Ceo

Phone

(419) 626-6161

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NOMS Eye Doing business as

Locations

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1407365349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378",
            "telephone_number": "419-626-6161",
            "fax_number": "419-502-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32730 WALKER RD STE J1",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440122235",
            "telephone_number": "440-961-2040",
            "fax_number": "440-961-2041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3004 Hayes Ave",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "OH",
            "postal_code": "448705321",
            "country_code": "US",
            "telephone_number": "419-609-1112",
            "fax_number": "419-609-1112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Prospect St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "OH",
            "postal_code": "448703366",
            "country_code": "US",
            "telephone_number": "419-626-8181",
            "fax_number": "419-626-8621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHERN OHIO MEDICAL SPECIALISTS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-22",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-626-6161"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0323193",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOMS Eye",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NOMS Eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anne Nock
• Bonnie Norris, RN
• North Shore Podiatry Inc
• Northern Ohio Chiropractic, LLC
• Northern Ohio Eye Consultants Inc (Cleveland Eye Clinic)
• Northshore Optometrists, LLC (NOMS Eye)
• Mary O'Malley, LISW
• Ohio CVS Stores LLC (CVS Pharmacy 04078)
• Ohio Optometric Consultants Inc.
• Rebecca Opel

• Ophthalmology Physician in Avon Lake, OH
• Providers in Avon Lake, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.