NPIMap

Organization Active NPI

Erie Eye Associates LTD

  • Optometrist
  • Broadview Heights, OH
National Provider Identifier
1447239181
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OH5247/T2151 Issued in OH
Legal business name
ERIE EYE ASSOCIATES LTD
Practice address
1261 W Royalton Rd
Broadview Heights, OH 44147-2407
Phone
(440) 526-7070
NPI assigned
Jan 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Dr. Nicolette Elizabeth Scott, O.D.NPI 1770621088
Title
Owner
Phone
(440) 526-7070

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 OH5247/T2151 OH Primary

Addresses

Primary practice location

1261 W Royalton Rd
Broadview Heights, OH 44147-2407

Mailing address

1261 W Royalton Rd
Broadview Heights, OH 44147-2407
Phone (440) 526-7070

Other names 1

  • Broad View Eye Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050323000746 OH Part B Supplier - Clinic/Group Practice 1052367091 Receives reassigned benefits from 9 practitioners
Practice locations: Berea, OH; Strongsville, OH; Broadview HTS, OH

National Provider Directory

National Provider Directory

Locations

1318 W Bagley Rd
Berea, OH 44017
Phone (440) 526-7070

1261 W Royalton Rd
Broadview Hts, OH 44147
Phone (440) 526-7070

403 E Royalton Rd
Ste 118
Broadview Hts, OH 44147
Phone (440) 526-7070

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1447239181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 W ROYALTON RD",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441472407",
            "telephone_number": "440-526-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 W ROYALTON RD",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441472407",
            "telephone_number": "440-526-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE EYE ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "NICOLETTE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-526-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH5247/T2151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broad View Eye Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Broad View Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broadview Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.