NPIMap

Organization Active NPI

Dr Anita M Soto O.D. Inc.

  • Optometrist
  • North Royalton, OH
National Provider Identifier
1578847018
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4850 T1715 Issued in OH
Legal business name
DR ANITA M SOTO O.D. INC.
Practice address
6785 Wallings Rd
North Royalton, OH 44133-3024
Phone
(440) 237-9120
Fax
(440) 237-9124
NPI assigned
Oct 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Authorized official

Name
Anita Soto, ODNPI 1629105531
Title
Physician
Phone
(440) 237-9120

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4850 T1715 OH Primary

Addresses

Primary practice location

6785 Wallings Rd
North Royalton, OH 44133-3024

Mailing address

6785 Wallings Rd
North Royalton, OH 44133-3024
Phone (440) 237-9120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120329000435 OH Part B Supplier - Clinic/Group Practice 6608034160 Receives reassigned benefits from 5 practitioners
Practice locations: North Royalton, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1578847018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6785 WALLINGS RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333024",
            "telephone_number": "440-237-9120",
            "fax_number": "440-237-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6785 WALLINGS RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333024",
            "telephone_number": "440-237-9120",
            "fax_number": "440-237-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ANITA M SOTO O.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "440-237-9120",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4850 T1715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Royalton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.