Organization Active NPI

Hillcrest-Mayfield Eye Associates, Inc.

  • Ophthalmology Physician
  • Mayfield HTS, OH
National Provider Identifier
1427051697
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
580800 Issued in OH
Legal business name
HILLCREST-MAYFIELD EYE ASSOCIATES, INC.
Practice address
6770 Mayfield Rd
Ste 338
Mayfield HTS, OH 44124-2299
Phone
(440) 442-4330
Fax
(440) 442-4695
NPI assigned
May 23, 2005
Last updated
Mar 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Authorized official

Name
Dr. Y. Victor Shin, M.D.NPI 1487657672
Title
President
Phone
(440) 442-4330

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
Ophthalmology Physician 207W00000X 580800 OH Primary

Addresses

Primary practice location

6770 Mayfield Rd
Ste 338
Mayfield HTS, OH 44124-2299

Mailing address

6770 Mayfield Rd
Ste 338
Mayfield HTS, OH 44124-2299
Phone (440) 442-4330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051205000708 OH Part B Supplier - Clinic/Group Practice 0648290650 Receives reassigned benefits from 2 practitioners
Practice locations: Mayfield Heights, OH

National Provider Directory

National Provider Directory

Locations

6770 Mayfield Rd
Ste 338
Mayfield Heights, OH 44124
Phone (216) 442-4330

Practitioners & affiliated clinicians

Practitioners 2

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": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1427051697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 MAYFIELD RD",
            "address_2": "STE 338",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441242299",
            "telephone_number": "440-442-4330",
            "fax_number": "440-442-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 MAYFIELD RD",
            "address_2": "STE 338",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441242299",
            "telephone_number": "440-442-4330",
            "fax_number": "440-442-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST-MAYFIELD EYE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "Y.",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-442-4330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "580800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.