Individual provider Active NPI

Jeffrey Lawrence Rais, OD

  • Optometrist
  • Cleveland, OH
National Provider Identifier
1508387283
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT6575 Issued in OH
Practice address
13943 Cedar Rd
Cleveland, OH 44118-3203
Phone
(216) 815-1460
Fax
(216) 803-3444
NPI assigned
Jul 3, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT6575 OH Primary

Addresses

Primary practice location

13943 Cedar Rd
Cleveland, OH 44118-3203

Mailing address

118 Cass Ave
Mount Clemens, MI 48043-2204
Phone (586) 464-1479

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170906003966 OH Practitioner - Optometry 0345513735 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT6575OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
SVS Vision Inc Optometrist CurrentSince Aug 24, 2017 Accepting new patients
SVS Vision Inc Optometrist CurrentSince Aug 24, 2017 Accepting new patients
SVS Vision Inc Optometrist Current Accepting new patients
SVS Vision Inc Optometrist Past Accepting new patients

Locations

118 Cass Ave
Mount Clemens, MI 48043
Phone (586) 464-1479

7710A Montgomery Rd
Cincinnati, OH 45236
Phone (513) 791-5911

2870 W Market St
Ste B
Fairlawn, OH 44333
Phone (234) 303-2560

7689 Mentor Ave
Mentor, OH 44060
Phone (440) 742-4900

5249 Detroit Rd
Unit 8
Sheffield Village, OH 44054
Phone (440) 934-3267

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1508387283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CASS AVE",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432204",
            "telephone_number": "586-464-1479",
            "fax_number": "586-464-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13943 CEDAR RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441183203",
            "telephone_number": "216-815-1460",
            "fax_number": "216-803-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIS",
        "first_name": "JEFFREY",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-03",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT6575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.