Active NPI
Mary Ann Lavery, MD
- Ophthalmology Physician
- Westlake, OH
National Provider Identifier
1720018070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 35-04-1201
- Practice address
- 27059 Center Ridge Rd
Westlake, OH 44145-4064 - Phone
- (440) 871-8933
- Fax
- (440) 899-9462
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 35-04-1201 | OH | Primary |
Addresses
Primary practice location
27059 Center Ridge Rd
Westlake, OH 44145-4064
Mailing address
27059 Center Ridge Rd
Westlake, OH 44145-4064
Phone (440) 871-8933
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08-01054 | Other | OH | UNITED HEALTHCARE |
| 000000374414 | Other | ID | UNICARE |
| 53491 | Other | OH | QUALCHOICE |
| 800519742052 | Other | OH | CARESOURCE |
| 000000656327 | Other | OH | ANTHEM BLUE CROSS |
| 3053574 | Medicaid | OH | |
| 5683020001 | Other | OH | D M E R C/MEDICARE |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Ohio State University College of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
24700 Ctr Ridge Rd
Suite G20
Westlake, OH 44145-5665
Phone (440) 871-8933
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Ann Lavery MD | Ophthalmology | Current | Accepting new patients |
| Westlake Eye Center Inc | Ophthalmology | Current | Accepting new patients |
Locations
24700 Center Ridge Rd
Ste G20
Westlake, OH 44145
Phone (216) 694-8132
27059 Center Ridge Rd
Westlake, OH 44145
Phone (440) 835-0085
Interoperability endpoints
- mlavery37692@ehrdirect.uhhospitals.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Westlake, OH
- NPI 1932439148
-
- Ophthalmology Physician
- Westlake, OH
- NPI 1750560728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279065600000",
"number": "1720018070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27059 CENTER RIDGE RD",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441454064",
"telephone_number": "440-871-8933",
"fax_number": "440-899-9462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27059 CENTER RIDGE RD",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441454064",
"telephone_number": "440-871-8933",
"fax_number": "440-899-9462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVERY",
"first_name": "MARY",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2010-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OH",
"license": "35-04-1201",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "08-01054",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "000000374414",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "53491",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "800519742052",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "000000656327",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3053574",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "D M E R C/MEDICARE",
"identifier": "5683020001",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.