Individual provider Active NPI

Anita E Warn, O.D.

  • Optometrist
  • Lyndhurst, OH
National Provider Identifier
1881906774
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5919 T2833 Issued in OH
Practice address
24539 Cedar Rd
Lyndhurst, OH 44124-3780
Phone
(216) 291-0120
NPI assigned
Jul 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5919 T2833 OH Primary
Corneal and Contact Management Optometrist 152WC0802X 5919 T2833 OH
Low Vision Rehabilitation Optometrist 152WL0500X 5919 T2833 OH

Addresses

Primary practice location

24539 Cedar Rd
Lyndhurst, OH 44124-3780

Mailing address

24539 Cedar Rd
Lyndhurst, OH 44124-3780
Phone (216) 291-0120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5919 T2833OHMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1881906774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24539 CEDAR RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441243780",
            "telephone_number": "216-291-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24539 CEDAR RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441243780",
            "telephone_number": "216-291-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARN",
        "first_name": "ANITA",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5919 T2833",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OH",
            "license": "5919 T2833",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "OH",
            "license": "5919 T2833",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.