Organization Active NPI

For Your Eyes Only, Inc

  • Optometrist
  • Willoughby, OH
National Provider Identifier
1750565008
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2663 Issued in OH
Legal business name
FOR YOUR EYES ONLY, INC
Practice address
5900 Som Center Rd Ste 19
Willoughby, OH 44094-3044
Phone
(440) 585-2020
NPI assigned
Dec 21, 2007
Last updated
Sep 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Dr. Robert Kriessler, D.O.NPI 1619910700
Title
Optometrist/President
Phone
(440) 585-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2663 OH Primary

Addresses

Primary practice location

5900 Som Center Rd Ste 19
Willoughby, OH 44094-3044

Mailing address

5900 Som Center Rd Ste 19
Willoughby, OH 44094-3044
Phone (440) 585-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040316000261 OH Part B Supplier - Clinic/Group Practice 3971493917 Receives reassigned benefits from 3 practitioners
Practice locations: Port Clinton, OH; Willoughby, OH

National Provider Directory

National Provider Directory

Locations

21771 Lake Shore Blvd
Euclid, OH 44123
Phone (216) 261-5050

3978 E Harbor Light Landing Dr
Port Clinton, OH 43452
Phone (419) 960-2020

5900 Som Center Rd
Willoughby, OH 44094
Phone (440) 479-5497

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1750565008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 SOM CENTER RD STE 19",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440943044",
            "telephone_number": "440-585-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 SOM CENTER RD STE 19",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440943044",
            "telephone_number": "440-585-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOR YOUR EYES ONLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "KRIESSLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "440-585-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "2663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.