Organization Active NPI

Pleasant Valley Eyecare

  • Eyewear Supplier
  • Parma, OH
National Provider Identifier
1447420187
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
3529 Issued in OH
Legal business name
PLEASANT VALLEY EYECARE
Practice address
7630 Broadview Rd
Parma, OH 44134-6745
Phone
(216) 642-5500
NPI assigned
Mar 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Authorized official

Name
Gary Crapanzano, O.D.NPI 1013909894
Title
President
Phone
(216) 642-5500

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 3529 OH
Eyewear Supplier 332H00000X 3529 OH Primary

Addresses

Primary practice location

7630 Broadview Rd
Parma, OH 44134-6745

Mailing address

7630 Broadview Rd
Parma, OH 44134-6745
Phone (216) 642-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930037783 OH DME Supplier - Physician - OptometristDME Supplier - Optician 3779609318 Practice locations: Parma, OH
O20110217000044 OH Part B Supplier - Clinic/Group Practice 3779609318 Receives reassigned benefits from 1 practitioner
Practice locations: Parma, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pleasant Valley Eyecare7630 Broadview Rd, Parma, OH 44134-6745(216) 642-5500 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1447420187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7630 BROADVIEW RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441346745",
            "telephone_number": "216-642-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 BROADVIEW RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441346745",
            "telephone_number": "216-642-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT VALLEY EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "CRAPANZANO",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-642-5500",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OH",
            "license": "3529",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "3529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.