Active NPI
Alicia'S Eyewear Boutique
- Optician
- Cleveland, OH
National Provider Identifier
1841376258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- ALICIA'S EYEWEAR BOUTIQUE
- Practice address
- 10128 Saint Clair Ave
Cleveland, OH 44108-1963 - Phone
- (216) 761-6055
- Fax
- (216) 761-6056
- NPI assigned
- Oct 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alicia Ford, OPTICIAN
- Title
- Owner
- Phone
- (216) 761-6055
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
10128 Saint Clair Ave
Cleveland, OH 44108-1963
Mailing address
10128 Saint Clair Ave
Cleveland, OH 44108-1963
Phone (216) 761-6055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0374081 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
10128 Saint Clair Ave
Cleveland, OH 44108
Phone (216) 541-3359
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optician
- Cleveland, OH
- NPI 1326089962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213315200000",
"number": "1841376258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10128 SAINT CLAIR AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441081963",
"telephone_number": "216-761-6055",
"fax_number": "216-761-6056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10128 SAINT CLAIR AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441081963",
"telephone_number": "216-761-6055",
"fax_number": "216-761-6056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALICIA'S EYEWEAR BOUTIQUE",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2008-06-13",
"status": "A",
"authorized_official_last_name": "FORD",
"authorized_official_first_name": "ALICIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "216-761-6055",
"authorized_official_credential": "OPTICIAN"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0374081",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.