Western Reserve Ophthalmology Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

WESTERN RESERVE OPHTHALMOLOGY INC

Practice address

23250 Chagrin Blvd
Suite 440
Beachwood, OH 44122-5470

Phone

(216) 514-1864

Fax

(216) 514-1867

NPI assigned

May 25, 2007

Last updated

May 16, 2012By 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

Linda Ferrill

Title

Office Manager

Phone

(216) 514-1864

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

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.

• Lisa Douglass Lystad, MD

  • Ophthalmology Physician
  • Beachwood, OH
  • NPI 1023089232
  NPD (past)

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1649481177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23250 CHAGRIN BLVD STE 440",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225445",
            "telephone_number": "216-514-1864",
            "fax_number": "216-514-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23250 CHAGRIN BLVD",
            "address_2": "SUITE 440",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225470",
            "telephone_number": "216-514-1864",
            "fax_number": "216-514-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN RESERVE OPHTHALMOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "FERRILL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "216-514-1864"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "000000167534",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERK",
            "identifier": "DA9250771",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0889605",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CN0841",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauryn Weppelman
• Angela M Wesley, PT
• Loretta Michelle West, PT
• Maureen Lorraine West, MSW
• Western Reserve Dermatology, Inc
• Western Reserve Periodontics, Inc
• Western Reserve Vision Care, Inc.
• Khannah Keziah Wetmore, LISW-S
• Diane L Wetzig, PHD
• Dymon Whatley, QMHS

• Ophthalmology Physician in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.