Organization Active NPI

Alicia'S Eyewear Boutique

  • Optician
  • Cleveland, OH
National Provider Identifier
1841376258
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
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

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Alicia Ford, OPTICIANNPI 1326089962
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)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0374081MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.