Northshore Optometrists, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NORTHSHORE OPTOMETRISTS, LLC

Practice address

32730 Walker Rd Ste J1
Avon Lake, OH 44012-2235

Phone

(440) 961-2040

Fax

(440) 961-2041

NPI assigned

Feb 2, 2021

Organization subpart

No

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

Authorized official

Name

Joshua Frederick

Title

Ceo

Phone

(419) 626-6161

Specialties & licenses 1

Addresses

Other names 1

• NOMS Eye Doing business as

Practitioners 3

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

• Robert Felix McLain, MD

  • Orthopaedic Surgery Physician
  • Solon, OH
  • NPI 1982632816
  NPD
• Sheila Mary Rice, M.D.

  • Internal Medicine Physician
  • Avon, OH
  • NPI 1023106473
  NPD
• David E Riley, MD

  • Neurology Physician
  • Beachwood, OH
  • NPI 1568481976
  NPD

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1891386702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378",
            "telephone_number": "419-626-6161",
            "fax_number": "419-502-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32730 WALKER RD STE J1",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440122235",
            "telephone_number": "440-961-2040",
            "fax_number": "440-961-2041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Prospect St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "OH",
            "postal_code": "448703366",
            "country_code": "US",
            "telephone_number": "419-626-8181",
            "fax_number": "419-626-8621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHSHORE OPTOMETRISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-626-6161"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOMS Eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bonnie Norris, RN
• North Shore Podiatry Inc
• Northern Ohio Chiropractic, LLC
• Northern Ohio Eye Consultants Inc
• Northern Ohio Medical Specialists,LLC
• Mary O'Malley, LISW
• Ohio CVS Stores LLC
• Ohio Optometric Consultants Inc.
• Rebecca Opel
• Optumrx Home Delivery of Ohio Inc.

• Optometrist in Avon Lake, OH
• Providers in Avon Lake, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.