Center for Advanced Eye Surgery, LTD

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0548AS Issued in OH

Legal business name

CENTER FOR ADVANCED EYE SURGERY, LTD

Practice address

1031 W Western Reserve Rd
Poland, OH 44514-3541

Phone

(330) 965-0900

Fax

(330) 743-8368

NPI assigned

Nov 21, 2005

Last updated

Jan 6, 2025By 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

Kayla R Wolsiefer

Title

Credentialing Specialist

Phone

(330) 884-6584

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Center for Advanced Eye SurgeryltdCCN 36C0001124

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

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.

• John P Aey, M.D.

  • Ophthalmology Physician
  • Poland, OH
  • NPI 1316949803
  Medicare reassignment NPD
• Joseph M Coney, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Beachwood, OH
  • NPI 1528007101
  Medicare reassignment NPD
• Sergul A Erzurum, M.D.

  • Ophthalmology Physician
  • Poland, OH
  • NPI 1235131913
  Medicare reassignment NPD
• Shawn Ashwin Lewis, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Beachwood, OH
  • NPI 1023336476
  Medicare reassignment NPD
• Zafar A Sheik, M.D.

  • Specialist
  • Warren, OH
  • NPI 1790787711
  Medicare reassignment NPD
• Sarah B Smith, M.D.

  • Ophthalmology Physician
  • Youngstown, OH
  • NPI 1053639161
  Medicare reassignment NPD
• Keith A Wilson, M.D.

  • Ophthalmology Physician
  • Poland, OH
  • NPI 1164424743
  Medicare reassignment NPD
• Lyn E Yakubov, M.D.

  • Ophthalmology Physician
  • Poland, OH
  • NPI 1144222746
  Medicare reassignment NPD

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1689657058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 W WESTERN RESERVE RD",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143541",
            "telephone_number": "330-965-0900",
            "fax_number": "330-743-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 W WESTERN RESERVE RD",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143541",
            "telephone_number": "330-965-0900",
            "fax_number": "330-743-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ADVANCED EYE SURGERY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "WOLSIEFER",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "330-884-6584"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0548AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490004288",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2145182",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla Renae Arlien PHD (Apex Psychological Care and Memory Center)
• Emily Anne Carlson
• Susan Carney
• Cas of Warren Inc
• Anthony Robert Casacchia, MD
• Mylette Le'Chelle Charles
• John Chiaro, DPM
• Polixeni Chirgott, RN, BSN, APRN
• Andrew David Chorey
• Jacqueline Ann Chorey, MA LPCC

• Ambulatory Surgical Clinic/Center in Poland, OH
• Providers in Poland, OH by specialty
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.