Active NPI
Kata Pagon, OD
- Optometrist
- Mentor, OH
National Provider Identifier
1730397605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T303
- Practice address
- 8900 Mentor Ave
Mentor, OH 44060-6345 - Phone
- (440) 255-7727
- Fax
- (440) 255-4288
- NPI assigned
- May 21, 2007
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | T303 | OH | Primary |
Addresses
Primary practice location
8900 Mentor Ave
Mentor, OH 44060-6345
Mailing address
14660 Rindlewood LN
Novelty, OH 44072-9590
Phone (440) 247-4632
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T303 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erie Optical | Optometrist | Past | Accepting new patients |
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": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730397605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14660 RINDLEWOOD LN",
"city": "NOVELTY",
"state": "OH",
"postal_code": "440729590",
"telephone_number": "440-247-4632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 MENTOR AVE",
"city": "MENTOR",
"state": "OH",
"postal_code": "440606345",
"telephone_number": "440-255-7727",
"fax_number": "440-255-4288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGON",
"first_name": "KATA",
"name_prefix": "Mrs.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "T303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.