Individual provider Active NPI

Beth A Yoder, O.D.

  • Optometrist
  • Wickliffe, OH
National Provider Identifier
1689771255
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5108 Issued in OH
Practice address
28112 Chardon Rd
Wickliffe, OH 44092-2710
Phone
(440) 944-8333
NPI assigned
Sep 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5108 OH Primary

Addresses

Primary practice location

28112 Chardon Rd
Wickliffe, OH 44092-2710

Mailing address

3017 Hatteras Way
Avon, OH 44011-2198
Phone (440) 934-2705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080314000224 OH Practitioner - Optometry 3072698018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Coast Eye Care, LLCGroup PAC ID 7911082953, 2 clinicians

Practice addresses (Care Compare)

35888 Ctr Ridge Rd
North Ridgeville, OH 44039-3086
Phone (440) 327-2747

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5108OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Eye Care, LLC Optometrist CurrentSince Jan 1, 2008 Accepting new patients

Locations

35888 Center Ridge Rd
North Ridgeville, OH 44039
Phone (440) 327-2747

35888 Center Ridge Rd
Ste 2
North Ridgeville, OH 44039
Phone (440) 327-2747

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689771255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 HATTERAS WAY",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112198",
            "telephone_number": "440-934-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28112 CHARDON RD",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440922710",
            "telephone_number": "440-944-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODER",
        "first_name": "BETH",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wickliffe, OH

Sources for this page

Verify at the official NPI Registry.