Individual provider Active NPI

Lida Zeinalpour, OD

  • Optometrist
  • Mentor, OH
National Provider Identifier
1821655994
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006768 Issued in OH
Practice address
9485 Mentor Ave Ste 110
Mentor, OH 44060-8724
Phone
(440) 255-1115
NPI assigned
May 23, 2019
Last updated
Feb 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.006768 OH Primary

Addresses

Primary practice location

9485 Mentor Ave Ste 110
Mentor, OH 44060-8724

Mailing address

8140 Norton Pkwy Ste 110
Mentor, OH 44060-6017
Phone (440) 255-1115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190726000595 OH Practitioner - Optometry 4587990635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.006768OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Associates of Cleveland, Inc. CurrentSince Jul 13, 2026 Accepting new patients
Ophthalmic Physicians Inc PastSince Jul 1, 2019 Accepting new patients
Erie Eye Associates LTD Optometrist Past Accepting new patients

Locations

9485 Mentor Ave
Ste 110
Mentor, OH 44060
Phone (440) 204-4444

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1821655994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 NORTON PKWY STE 110",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606017",
            "telephone_number": "440-255-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9485 MENTOR AVE STE 110",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440608724",
            "telephone_number": "440-255-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEINALPOUR",
        "first_name": "LIDA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.