Organization Active NPI

Loeper Visioncare Inc

  • Optometrist
  • Medina, OH
National Provider Identifier
1407984461
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LOEPER VISIONCARE INC
Practice address
801 E Washington St
Suite 120
Medina, OH 44256-3335
Phone
(330) 725-6655
Fax
(330) 722-5544
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Authorized official

Name
David C. Loeper, O.D.NPI 1124166426
Title
President
Phone
(330) 725-6655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OH Primary

Addresses

Primary practice location

801 E Washington St
Suite 120
Medina, OH 44256-3335

Mailing address

801 E Washington St
Suite 120
Medina, OH 44256-3335
Phone (330) 725-6655

Other identifiers 1

IdentifierTypeStateIssuer
1084600001OtherOHDMERC #

Other names 1

  • Loeper Vision Team Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120413000193 OH Part B Supplier - Clinic/Group Practice 2264693571 Receives reassigned benefits from 2 practitioners
Practice locations: Medina, OH

National Provider Directory

National Provider Directory

Locations

801 E Washington St
Ste 120
Medina, OH 44256
Phone (330) 725-6655

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1407984461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E WASHINGTON ST",
            "address_2": "SUITE 120",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563335",
            "telephone_number": "330-725-6655",
            "fax_number": "330-722-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E WASHINGTON ST",
            "address_2": "SUITE 120",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563335",
            "telephone_number": "330-725-6655",
            "fax_number": "330-722-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOEPER VISIONCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "LOEPER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-725-6655",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC #",
            "identifier": "1084600001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loeper Vision Team",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.