Individual provider Active NPI

Denise M. Kuder, O.D.

  • Optometrist
  • Avon, OH
National Provider Identifier
1609959436
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4760/ T1564 Issued in OH
Practice address
35901 Chester Rd
Avon, OH 44011-1069
Phone
(440) 937-4765
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4760/ T1564 OH Primary

Addresses

Primary practice location

35901 Chester Rd
Avon, OH 44011-1069

Mailing address

35901 Chester Rd
Avon, OH 44011-1069
Phone (440) 937-4765

Other practice location 1

35830 Detroit Rd
Avon, OH 44011-1681
Phone (440) 937-4311 ext. 937

Other practice location 2

4380 Leavitt Rd
Lorain, OH 44053-2370
Phone (440) 324-4289

Other practice location 3

24801 Brookpark Rd
North Olmsted, OH 44070
Phone (440) 979-9546

Other practice location 4

24801 Brookpark Rd
North Olmsted, OH 44070
Phone (440) 979-9546

Other identifiers 1

IdentifierTypeStateIssuer
000000199218OtherOHANTHEM BC BS

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
I20061215000261 OH Practitioner - Optometry 7810996055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Ohio Professional PCGroup PAC ID 7618207036, 80 clinicians

Practice addresses (Care Compare)

14365 Pearl Rd
Strongsville, OH 44136-8713
Phone (440) 238-1966

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4760/ T1564OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Ohio Professional PC Optometrist CurrentSince Oct 28, 2023 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Oct 28, 2023 Accepting new patients

Locations

33541 Aurora Rd
Solon, OH 44139
Phone (440) 248-2020

14365 Pearl Rd
Strongsville, OH 44136
Phone (440) 238-1966

Organizations & group practices 2

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1609959436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35901 CHESTER RD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111069",
            "telephone_number": "440-937-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35901 CHESTER RD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111069",
            "telephone_number": "440-937-4765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35830 Detroit Rd",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "OH",
            "postal_code": "440111681",
            "country_code": "US",
            "telephone_number": "440-937-4311 x937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4380 Leavitt Rd",
            "address_purpose": "LOCATION",
            "city": "Lorain",
            "state": "OH",
            "postal_code": "440532370",
            "country_code": "US",
            "telephone_number": "440-324-4289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24801 Brookpark Rd",
            "address_purpose": "LOCATION",
            "city": "North Olmsted",
            "state": "OH",
            "postal_code": "44070",
            "country_code": "US",
            "telephone_number": "440-979-9546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24801 Brookpark Rd",
            "address_purpose": "LOCATION",
            "city": "North Olmsted",
            "state": "OH",
            "postal_code": "44070",
            "country_code": "US",
            "telephone_number": "440-979-9546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUDER",
        "first_name": "DENISE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4760/ T1564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "000000199218",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

Verify at the official NPI Registry.