Robert F Gradisek OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ROBERT F GRADISEK OD INC

Practice address

1142 W 37TH St
Lorain, OH 44052-5115

Phone

(440) 282-6669

NPI assigned

Mar 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert Gradisek

Title

Owner

Phone

(440) 282-6669

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Caroline Heilman, O.D.

  • Optometrist
  • Lorain, OH
  • NPI 1770630782
  NPD (past)
• Beth Ann Workman, O.D.

  • Optometrist
  • Avon Lake, OH
  • NPI 1184781189
  NPD (past)

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1649442104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 W 37TH ST",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440525115",
            "telephone_number": "440-282-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 W 37TH ST",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440525115",
            "telephone_number": "440-282-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT F GRADISEK OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "GRADISEK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-282-6669",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CM6489",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria M Rivera
• Marianela Rivera
• Sylvia Anna Rivera, LPN
• Athena Rivers, ED.S.
• Jennifer G. Robb, D.M.D.
• Jack T. Roberts, AU.D
• Tammie Doreen Robinson Currie, LPN
• Amber Robinson
• Christopher D Robinson, LCDC II, ICADC
• Deangelo Robinson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.