Active NPI
Northern Ohio Eye Consultants Inc
- Ophthalmology Physician
- Avon, OH
National Provider Identifier
1720613136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- NORTHERN OHIO EYE CONSULTANTS INC
- Practice address
- 36991 American Way
Avon, OH 44011-4060 - Phone
- (440) 717-0591
- Fax
- (440) 717-0594
- NPI assigned
- Mar 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William P Morgan
- Title
- Cfo
- Phone
- (440) 540-4766
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
36991 American Way
Avon, OH 44011-4060
Mailing address
PO Box 14000
Attn#14674R
Belfast, ME 04915-4033
Phone (800) 875-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2410395 | Medicaid | OH |
Other names 1
- Cleveland Eye Clinic
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2180056 | Cleveland Eye Clinic | Certificate of waiver | Mar 4, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Cleveland Eye Clinic
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Hudson, OH
- NPI 1063138501
-
- Optometrist
- Parma, OH
- NPI 1083330526
-
- Optometrist
- Avon Lake, OH
- NPI 1144946682
-
- Ophthalmology Physician
- Sandusky, OH
- NPI 1275119554
-
- Eyewear Supplier
- Avon, OH
- NPI 1285986802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583366400000",
"number": "1720613136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14000",
"address_2": "ATTN#14674R",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154033",
"telephone_number": "800-875-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36991 AMERICAN WAY",
"city": "AVON",
"state": "OH",
"postal_code": "440114060",
"telephone_number": "440-717-0591",
"fax_number": "440-717-0594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN OHIO EYE CONSULTANTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-05",
"last_updated": "2020-03-05",
"certification_date": "2020-03-05",
"status": "A",
"authorized_official_last_name": "MORGAN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "440-540-4766"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2410395",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cleveland Eye Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Avon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.