Individual provider Active NPI

Theodore Emmanuel Loizos, MD

  • Ophthalmology Physician
  • Fairview Park, OH
National Provider Identifier
1497836290
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
57-010536 Issued in OH
Practice address
21375 Lorain Rd
Fairview Park, OH 44126-2122
Phone
(440) 333-7346
Fax
(440) 333-0273
NPI assigned
Oct 18, 2006
Last updated
Jan 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 57-010536 OH Primary

Addresses

Primary practice location

21375 Lorain Rd
Fairview Park, OH 44126-2122

Mailing address

21375 Lorain Rd
Fairview Park, OH 44126-2122
Phone (440) 333-7346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090821000682 OH Practitioner - Ophthalmology 7214081488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Eye Center, IncGroup PAC ID 2062480429, 9 clinicians

Practice addresses (Care Compare)

21375 Lorain Rd
Fairview Park, OH 44126-2122
Phone 4403333097313

Merit-based Incentive Payment System (MIPS)

Final score
82.04 of 100Reported as group
Quality
95.11
Improvement activities
40
Cost
46.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery440
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
57-010536OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Eye Center, Inc Ophthalmology CurrentSince Aug 1, 2009 Accepting new patients
Fairview Eye Center, Inc Ophthalmology CurrentSince Aug 1, 2009 Accepting new patients
Fairview Eye Center Ophthalmology Past Accepting new patients
Fairview Eye Center, Inc. Ophthalmology Past Accepting new patients

Locations

38530 Chester Rd
Ste 200
Avon, OH 44011
Phone 4403333097313

7300 Pearl Rd
Ste 200
Cleveland, OH 44130

21375 Lorain Rd
Fairview Park, OH 44126
Phone (440) 333-3060

16400 Hilliard Rd
Lakewood, OH 44107
Phone (216) 228-1800

7003 Pearl Rd
Middleburg Heights, OH 44130
Phone (440) 888-2333

Interoperability endpoints

  • Direct secure messaging: tloizos@fairvieweyecenter.imwdirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1497836290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21375 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262122",
            "telephone_number": "440-333-7346",
            "fax_number": "440-333-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21375 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262122",
            "telephone_number": "440-333-7346",
            "fax_number": "440-333-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOIZOS",
        "first_name": "THEODORE",
        "middle_name": "EMMANUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "57-010536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Park, OH

Sources for this page

Verify at the official NPI Registry.