Patricia Jeanne Creatura, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T004731 Issued in NY

Practice address

3547 Midway Mall
Eyemasters
Elyria, OH 44035-2458

Phone

(440) 324-9779

NPI assigned

Mar 4, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Northeast Ohio Optometric Services and Contact Lens Supply

  • Optometrist
  • Elyria, OH
  • NPI 1255643797
  NPD (past) Authorized official

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1417255100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3770 NORTHWOOD RD",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "441183738",
            "telephone_number": "216-321-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3547 MIDWAY MALL",
            "address_2": "EYEMASTERS",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440352458",
            "telephone_number": "440-324-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREATURA",
        "first_name": "PATRICIA",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4337 T909",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3327",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008067",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T004731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0936491",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miranda Cox
• Tia Cox
• Niki Cozart
• Jack W Cramer, DO
• Lestina Crawley
• Melissa Ann Crim, STNA
• Kayleigh Crocker, SWT
• Mary Anne Crone
• Randall S Crone Sr.
• Amatullah Crook

• Optometrist in Elyria, OH
• Providers in Elyria, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.