George E Atanasoff OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

4264T023 Issued in OH

Legal business name

GEORGE E ATANASOFF OD INC

Doing business as

Eye & VIsion Center

Practice address

11925 Pearl Rd
Ste 104
Strongsville, OH 44136

Phone

(440) 238-7865

Fax

(440) 238-3888

NPI assigned

Feb 22, 2006

Last updated

Aug 22, 2020By 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

George Elliott Atanasoff, OD

Title

President

Phone

(330) 666-6789

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Eye & VIsion Center Doing business as

Locations

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609841733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11925 PEARL RD",
            "address_2": "STE 104",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "44136",
            "telephone_number": "440-238-7865",
            "fax_number": "440-238-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11925 PEARL RD",
            "address_2": "STE 104",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "44136",
            "telephone_number": "440-238-7865",
            "fax_number": "440-238-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE E ATANASOFF OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ATANASOFF",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ELLIOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-666-6789",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4264T023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0459150",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0820960001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye & VIsion Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mallory Garofolo
• Meagan Gear, COTA/L
• Timothy Geary
• Pat Gentilcore Jr., DDS
• Catherine Gentry, APRN-CNP, PMHNP-BC
• Ellen Gerges
• Nicole Jila Ghaffari, DO
• Bilal Taher Ghanem, OD
• Terri Lynne Gibbons, RPH
• Jennifer Kimberly Gibson

• Optometrist in Strongsville, OH
• Providers in Strongsville, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.