Western Reserve Vision Care, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WESTERN RESERVE VISION CARE, INC.

Practice address

3690 Orange PL
Suite #150
Beachwood, OH 44122-4464

Phone

(216) 839-0200

Fax

(216) 839-0808

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mary Jo Stiegemeier, OD

Title

President Ceo

Phone

(330) 650-9599

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1659467900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PLACE #150",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-839-0200",
            "fax_number": "216-839-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PL",
            "address_2": "SUITE #150",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224464",
            "telephone_number": "216-839-0200",
            "fax_number": "216-839-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN RESERVE VISION CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "STIEGEMEIER",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "330-650-9599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretta Michelle West, PT
• Maureen Lorraine West, MSW
• Western Reserve Dermatology, Inc
• Western Reserve Ophthalmology Inc
• Western Reserve Periodontics, Inc
• Khannah Keziah Wetmore, LISW-S
• Diane L Wetzig, PHD
• Dymon Whatley, QMHS
• Jessica Diondra Liane Wheeler
• Benjamin A White, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.