NPIMap

Organization Active NPI

The Cleveland Clinic Foundation

Doing business as CCF Cole Eye Lakewood

  • Eyewear Supplier
  • Lakewood, OH
National Provider Identifier
1689132797
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
THE CLEVELAND CLINIC FOUNDATION
Doing business as
CCF Cole Eye Lakewood
Practice address
16215 Madison Ave
Lakewood, OH 44107-5618
Phone
(216) 237-5888
Fax
(216) 521-3338
NPI assigned
Mar 7, 2019
Last updated
Mar 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Authorized official

Name
Timothy L. Longville
Title
Chief Acct Officer and Controller
Phone
(216) 636-7416

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary
Optometrist 152W00000X NU

Addresses

Primary practice location

16215 Madison Ave
Lakewood, OH 44107-5618

Mailing address

6801 Brecksville Road
Suite 20 RK2-7
Independence, OH 44131-5058
Phone (216) 636-8926

Other names 1

  • CCF COLE EYE LAKEWOOD Doing business as

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

16215 Madison Ave
Lakewood, OH 44107
Phone (216) 237-5888

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1689132797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 BRECKSVILLE ROAD",
            "address_2": "SUITE 20 RK2-7",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441315058",
            "telephone_number": "216-636-8926",
            "fax_number": "216-442-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16215 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441075618",
            "telephone_number": "216-237-5888",
            "fax_number": "216-521-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLEVELAND CLINIC FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "LONGVILLE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF ACCT OFFICER AND CONTROLLER",
        "authorized_official_telephone_number": "216-636-7416"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCF COLE EYE LAKEWOOD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CCF COLE EYE LAKEWOOD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.