Individual provider Active NPI

Stanley Warn, O.D.

  • Optometrist
  • Cleveland, OH
National Provider Identifier
1912004391
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3577T693 Issued in OH
Practice address
4836 Northfield Rd
Cleveland, OH 44128-4524
Phone
(216) 475-0552
Fax
(216) 662-3894
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3577T693 OH Primary

Addresses

Primary practice location

4836 Northfield Rd
Cleveland, OH 44128-4524

Mailing address

4836 Northfield Rd
Cleveland, OH 44128-4524
Phone (216) 475-0552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110331000256 OH Practitioner - Optometry 8527241330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Ohio Eye Consultants, IncGroup PAC ID 3577537810, 40 clinicians

Practice addresses (Care Compare)

2740 Carnegie Ave
Cleveland, OH 44115-2627
Phone (216) 621-6132

Merit-based Incentive Payment System (MIPS)

Final score
83.55 of 100Reported as group
Quality
81.19
Promoting interoperability
83
Improvement activities
40
Cost
78.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3577T693OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Eye Consultants Inc Optometrist CurrentSince Aug 1, 2013 Accepting new patients
Northern Ohio Eye Consultants Inc CurrentSince Aug 1, 2013 Accepting new patients
Western Reserve Eye Associates, Inc. Optometrist CurrentSince May 26, 2016 Accepting new patients

Locations

320 Broadway Ave
Bedford, OH 44146
Phone (440) 439-2700

320 Broadway Ave
Ste C
Bedford, OH 44146
Phone (440) 439-2700

7001 S Edgerton Rd
Ste B
Brecksville, OH 44141
Phone (440) 526-1974

6880 W Snowville Rd
Ste 215
Brecksville, OH 44141
Phone (440) 526-1974

2740 Carnegie Ave
Cleveland, OH 44115
Phone (216) 621-6132

25101 Chagrin Blvd
Ste 150
Cleveland, OH 44122
Phone (216) 359-1734

5697 Darrow Rd
Hudson, OH 44236
Phone (330) 422-2020

4836 Northfield Rd
North Randall, OH 44128
Phone (216) 475-0552

1155 State Route 303
Streetsboro, OH 44241
Phone (330) 422-2020

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912004391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4836 NORTHFIELD RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441284524",
            "telephone_number": "216-475-0552",
            "fax_number": "216-662-3894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4836 NORTHFIELD RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441284524",
            "telephone_number": "216-475-0552",
            "fax_number": "216-662-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARN",
        "first_name": "STANLEY",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3577T693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.