Cleveland Eyecare, OD, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1075 Issued in NC

Legal business name

CLEVELAND EYECARE, OD, PA

Practice address

422 W Warren St
Shelby, NC 28150-5330

Phone

(704) 482-1234

Fax

(704) 482-3777

NPI assigned

Dec 3, 2014

Organization subpart

No

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

Authorized official

Name

Kristy Hyder

Title

Office Manager

Phone

(704) 482-1234

Specialties & licenses 1

Addresses

Other names 1

• Cleveland Eyecare Former legal business name

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Interoperability endpoints

• Direct secure messaging: od@clevelandeyecare.clevelandeyecare.eyeclinicdirect.net

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leander Shepard Hamrick, O.D.

  • Optometrist
  • Shelby, NC
  • NPI 1265417125
  Medicare reassignment Care Compare group NPD
• Cameron Street Hamrick, OD

  • Optometrist
  • Shelby, NC
  • NPI 1609321124
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1891192019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 W WARREN ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505330",
            "telephone_number": "704-482-1234",
            "fax_number": "704-482-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 W WARREN ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505330",
            "telephone_number": "704-482-1234",
            "fax_number": "704-482-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND EYECARE, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "HYDER",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "704-482-1234"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Eyecare",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Cleveland County Healthcare System
• Cleveland County Healthcare System
• Cleveland County Healthcare System
• Cleveland County Healthcare System
• Cleveland County Healthcare System
• Cleveland Family Services
• Cleveland Family Services
• Cleveland Family Services Inc.
• Cleveland Family Services Inc.
• Cleveland Family Services Inc.

• Optometrist in Shelby, NC
• Providers in Shelby, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.