Sheffield Lake Vision Center Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

3285T416 Issued in OH

Legal business name

SHEFFIELD LAKE VISION CENTER INC

Practice address

4282 E Lake Rd
Sheffield Lake, OH 44054-1248

Phone

(440) 949-2204

Fax

(440) 949-4267

NPI assigned

Aug 14, 2007

Last updated

Feb 9, 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

Dr. Gregory N Dziama, O.D.NPI 1659402881

Title

Optometrist

Phone

(440) 949-2204

Specialties & licenses 1

Addresses

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.

• Gregory N Dziama, O.D.

  • Optometrist
  • Sheffield Lake, OH
  • NPI 1659402881
  NPD Authorized official

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1659563583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4282 E LAKE RD",
            "city": "SHEFFIELD LAKE",
            "state": "OH",
            "postal_code": "440541248",
            "telephone_number": "440-949-2204",
            "fax_number": "440-949-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4282 E LAKE RD",
            "city": "SHEFFIELD LAKE",
            "state": "OH",
            "postal_code": "440541248",
            "telephone_number": "440-949-2204",
            "fax_number": "440-949-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEFFIELD LAKE VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "DZIAMA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "440-949-2204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "3285T416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rite Aid of Ohio Inc (Rite Aid Pharmacy 03169)
• Amanda Lynn Roman, PRS
• Jennifer Lynn Schill
• Deborah Schremp
• Rita Carol Schuster, L.P.N.
• Heidi Shorter
• Aaron H Simmons
• Jdenise Smith, LPN
• Vicki Jo Smith, REGISTERED NURSE
• Donielle J Snyder

• Durable Medical Equipment & Medical Supplies in Sheffield Lake, OH
• Providers in Sheffield Lake, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.