Organization Active NPI

North Coast Eye Surgery LLC

  • Ophthalmology Physician
  • Middleburg Heights, OH
National Provider Identifier
1669875456
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35087899 Issued in OH
Legal business name
NORTH COAST EYE SURGERY LLC
Practice address
18850 Bagley Rd
Middleburg Heights, OH 44130-3306
Phone
(440) 243-7400
Fax
(440) 243-9034
NPI assigned
Oct 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Authorized official

Name
Ravi B Berger, MDNPI 1659314250
Title
Owner
Phone
(440) 243-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 35087899 OH Primary

Addresses

Primary practice location

18850 Bagley Rd
Middleburg Heights, OH 44130-3306

Mailing address

18850 Bagley Rd
Middleburg Heights, OH 44130-3306
Phone (440) 243-7400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rberger@nces.intellechartdirect.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150619000355 OH Part B Supplier - Clinic/Group Practice 2264743004 Receives reassigned benefits from 1 practitioner
Practice locations: Middleburg Heights, OH

National Provider Directory

National Provider Directory

Locations

18660 Bagley Rd
#101
Cleveland, OH 44130
Phone 44024374001

18850 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 234-7400

Interoperability endpoints

  • Direct secure messaging: rberger@nces.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1669875456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18850 BAGLEY RD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303306",
            "telephone_number": "440-243-7400",
            "fax_number": "440-243-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18850 BAGLEY RD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303306",
            "telephone_number": "440-243-7400",
            "fax_number": "440-243-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST EYE SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "RAVI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-243-7400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35087899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rberger@nces.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "rberger@nces.intellechartdirect.net",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "18850 Bagley Rd",
            "city": "Middleburg Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441303306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.