Clint Paxson O.D. LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

5566 T2480 Issued in OH

Legal business name

CLINT PAXSON O.D. LLC

Practice address

28112 Chardon Rd
Willoughby Hills, OH 44092-2710

Phone

(440) 944-8333

Fax

(440) 944-3632

NPI assigned

May 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Clint D Paxson, O.D.

Title

Owner

Phone

(440) 944-8333

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellen Lille Ellsworth, O.D.

  • Optometrist
  • Mentor, OH
  • NPI 1437297264
  NPD (past)
• Ronald P Welker

  • Optician
  • Conneaut, OH
  • NPI 1841412350
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1780642439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28112 CHARDON RD",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440922710",
            "telephone_number": "440-944-8333",
            "fax_number": "440-944-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28112 CHARDON RD",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440922710",
            "telephone_number": "440-944-8333",
            "fax_number": "440-944-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINT PAXSON O.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "PAXSON",
        "authorized_official_first_name": "CLINT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-944-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5566 T2480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2630111",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Lynn Chick, LMT
• Mercedez Monique Chisholm, LPN
• Jabreel M Chisley
• Meekolashawna A Chislom
• Vivian A Chukwuani, MD
• Elisha Cohen, FNP-C
• Linda Cole, LPCC
• Amber Collins
• Lissette Marie Colon-Perez, LPCC-S
• Mya Levette Cornett

• Optometrist in Willoughby Hills, OH
• Providers in Willoughby Hills, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.