Cleveland Society for the Blind
Organization Active NPI Optometrist · Cleveland, OH
NPI 1770643140 · NPPES record last updated Jun 19, 2015
Key facts
- NPI
- 1770643140
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- CLEVELAND SOCIETY FOR THE BLIND
- Practice address
- 1909 East 101 Street
Cleveland, OH 44106 - Phone
- (216) 791-8118
- Fax
- (216) 791-1101
- NPI assigned
- Dec 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Kevin R Krencisz
- Title
- Cfo
- Phone
- (216) 791-8118
Corporate family (same tax ID) 1
Practitioners 25
-
Julia Teresa Criswell, OTR/L
-
Christine Laverne Russo, O.D.
-
Annalisa Katz Schloss, O.D.
-
Erin Lee St Denis, OTR L
-
Beth Ann Workman, O.D.
-
Timothy A Moran, LSW
-
Tonnette Catron-Andrews, LICENSED SOCIAL WORK
-
Steven Mark Friedman, PH.D.
-
Colleen C Hunter, CCC-SLP
-
Annette Jakse, LSW, LPC
-
Bruce Jeffries, OD
-
Ralph Johnson, L.S.W.
-
Joaquin Veloso Lim, O.D.
-
Gale E Lynch, LSW
-
Brian James Manthey, LVT, VRT
-
Lynn Marie Schafer, OTRL
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070822000071 | OH | Part B Supplier - Clinic/Group Practice | 3173615283 |
Receives reassigned benefits from 9 practitioners Practice locations: Cleveland, OH |
National Provider Directory
- Tax ID family
- Cleveland Sight Center
Locations
1909 E 101st St
Ste 216
Cleveland, OH 44106
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | |||
| Optometrist |
152W00000X | Yes | ||
| Occupational Therapist |
225X00000X | |||
| Case Management Agency | 251B00000X |
Addresses
Primary practice location
1909 East 101 Street
Cleveland, OH 44106
Mailing address
1909 East 101 Street
Cleveland, OH 44106
Phone (216) 791-8118
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0857087 | Medicaid | OH |
Other names
- Cleveland Sight Center
Other providers in Cleveland, OH
- Cleveland Rise Residential Group LLC
- Cleveland Sex & Intimacy Counseling
- Cleveland Sex Therapy, LLC
- Cleveland Sleep Treatment LLC
- Cleveland Society for the Blind
- Cleveland Sports Academy
- Cleveland State University
- Cleveland State University Health and Wellness Services
- Cleveland State University Speech and Hearing Clinic
- Cleveland Team Construction
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.