Organization Active NPI

North Ridgeville Eye Care Inc

  • Optometrist
  • North Ridgeville, OH
National Provider Identifier
1427015932
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3430 Issued in OH
Legal business name
NORTH RIDGEVILLE EYE CARE INC
Practice address
7079 Avon Belden Rd
North Ridgeville, OH 44039-3774
Phone
(440) 327-2020
Fax
(440) 327-5174
NPI assigned
Apr 27, 2006
Last updated
Jan 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Authorized official

Name
Dr. Carol A Novak, OD
Title
President Optometrist
Phone
(440) 327-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3430 OH Primary

Addresses

Primary practice location

7079 Avon Belden Rd
North Ridgeville, OH 44039-3774

Mailing address

7079 Avon Belden Rd
North Ridgeville, OH 44039-3774
Phone (440) 327-2020

Other identifiers 1

IdentifierTypeStateIssuer
2840439MedicaidOH

National Provider Directory

National Provider Directory

Locations

35581 Center Ridge Rd
North Ridgeville, OH 44039
Phone (440) 327-2020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1427015932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7079 AVON BELDEN RD",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440393774",
            "telephone_number": "440-327-2020",
            "fax_number": "440-327-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7079 AVON BELDEN RD",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440393774",
            "telephone_number": "440-327-2020",
            "fax_number": "440-327-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH RIDGEVILLE EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OPTOMETRIST",
        "authorized_official_telephone_number": "440-327-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2840439",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Ridgeville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.