Individual provider Active NPI

Michelle A. Loeper, O.D.

  • Optometrist
  • Medina, OH
National Provider Identifier
1831237049
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4496 Issued in OH
Practice address
801 E Washington St
Suite 120
Medina, OH 44256-3335
Phone
(330) 725-6655
Fax
(330) 722-5544
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4496 OH Primary

Addresses

Primary practice location

801 E Washington St
Suite 120
Medina, OH 44256-3335

Mailing address

801 E Washington St
Suite 120
Medina, OH 44256-3335
Phone (330) 725-6655

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
I20120416000235 OH Practitioner - Optometry 9830350156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loeper Visioncare Inc.Group PAC ID 2264693571, 2 clinicians

Practice addresses (Care Compare)

801 E Washington St
Suite 120
Medina, OH 44256-3327
Phone (330) 725-6655

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4496OHMDClinical Psychologist

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1831237049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E WASHINGTON ST",
            "address_2": "SUITE 120",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563335",
            "telephone_number": "330-725-6655",
            "fax_number": "330-722-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E WASHINGTON ST",
            "address_2": "SUITE 120",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563335",
            "telephone_number": "330-725-6655",
            "fax_number": "330-722-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEPER",
        "first_name": "MICHELLE",
        "middle_name": "A.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.