Chagrin Valley Optometrists, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

3865 Issued in OH

Legal business name

CHAGRIN VALLEY OPTOMETRISTS, INC

Practice address

16706 Chillicothe Rd Ste 500
Chagrin Falls, OH 44023-4573

Phone

(440) 708-0020

Fax

(440) 708-0302

NPI assigned

Dec 14, 2007

Last updated

Nov 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Wilson

Title

Billing

Phone

(440) 708-0020

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald Kevin Jurcak, O.D.

  • Optometrist
  • Chagrin Falls, OH
  • NPI 1548398837
  Medicare reassignment Care Compare group NPD
• Jenna Ann Lewis, O.D.

  • Optometrist
  • Beachwood, OH
  • NPI 1417943325
  Medicare reassignment Care Compare group NPD
• Patrick Leigh Shepard, OD

  • Optometrist
  • Chagrin Falls, OH
  • NPI 1760066906
  Medicare reassignment Care Compare group NPD
• Karen M Malaski, O.D.

  • Optometrist
  • Woodmere, OH
  • NPI 1639242480
  NPD (past)

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1548443302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16706 CHILLICOTHE RD STE 500",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234573",
            "telephone_number": "440-708-0020",
            "fax_number": "440-708-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16706 CHILLICOTHE RD STE 500",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234573",
            "telephone_number": "440-708-0020",
            "fax_number": "440-708-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAGRIN VALLEY OPTOMETRISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "440-708-0020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNTED HEALTHCARE",
            "identifier": "2529900",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000228073",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Julia Chambers
• Richard Chandler
• Jessica Chapman, LISW
• Michelle Chapman, PA
• Cherished Companions Home Care, LLC

• Optometrist in Chagrin Falls, OH
• Providers in Chagrin Falls, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.