Organization Active NPI

Northern Ohio Eye Consultants, Inc

  • Optometrist
  • Elyria, OH
National Provider Identifier
1497032833
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5460T2372 Issued in OH
Legal business name
NORTHERN OHIO EYE CONSULTANTS, INC
Practice address
1180 E Broad St
Elyria, OH 44035-6306
Phone
(440) 366-6969
Fax
(440) 366-9513
NPI assigned
Nov 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Dr. William F Wiley, MD
Title
Medical Director
Phone
(216) 621-6132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 5460T2372 OH Primary

Addresses

Primary practice location

1180 E Broad St
Elyria, OH 44035-6306

Mailing address

7001 S Edgerton Rd
Suite B
Brecksville, OH 44141-4206
Phone (440) 526-1974

Other names 1

  • Cleveland Eye Clinic Doing business as

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2073099Cleveland Eye Clinic - Elyria1180 E Broad St, Elyria, OH 44035Certificate of waiverSep 9, 2026

National Provider Directory

National Provider Directory

Locations

1180 E Broad St
Elyria, OH 44035
Phone (440) 365-5965

Practitioners & affiliated clinicians

Practitioners 4

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": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1497032833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 S EDGERTON RD",
            "address_2": "SUITE B",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441414206",
            "telephone_number": "440-526-1974",
            "fax_number": "440-740-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 E BROAD ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356306",
            "telephone_number": "440-366-6969",
            "fax_number": "440-366-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN OHIO EYE CONSULTANTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "216-621-6132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5460T2372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.