Individual provider Active NPI

Alex J Szabo, O.D.

  • Optometrist
  • North Olmsted, OH
National Provider Identifier
1912925116
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3573 Issued in OH
Practice address
26777 Lorain Rd
Suite 203
North Olmsted, OH 44070-3200
Phone
(440) 734-4777
Fax
(440) 734-0555
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3573 OH Primary

Addresses

Primary practice location

26777 Lorain Rd
Suite 203
North Olmsted, OH 44070-3200

Mailing address

26777 Lorain Rd Ste 203
North Olmsted, OH 44070-3226
Phone (440) 734-4777

Other identifiers 4

IdentifierTypeStateIssuer
P00457677OtherOHRAILROAD MEDICARE
4592610OtherOHAETNA
4717982OtherOHCIGNA
000000152224OtherOHANTHEM BLUE CROSS & BLUE

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
I20080313000740 OH Practitioner - Optometry 9537244553 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3573OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Eye Center, Inc CurrentSince Apr 1, 2017 Accepting new patients
Fairview Eye Center, Inc Optometrist CurrentSince Apr 1, 2017 Accepting new patients

Locations

21375 Lorain Rd
Fairview Park, OH 44126
Phone (440) 333-3060

16400 Hilliard Rd
Lakewood, OH 44107
Phone (216) 228-1800

7003 Pearl Rd
Middleburg Heights, OH 44130
Phone (440) 888-2333

26777 Lorain Rd
Ste 203
North Olmsted, OH 44070
Phone (440) 333-3060

Organizations & group practices 2

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1912925116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26777 LORAIN RD STE 203",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703226",
            "telephone_number": "440-734-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26777 LORAIN RD",
            "address_2": "SUITE 203",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703200",
            "telephone_number": "440-734-4777",
            "fax_number": "440-734-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZABO",
        "first_name": "ALEX",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00457677",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4592610",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4717982",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS & BLUE",
            "identifier": "000000152224",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

Verify at the official NPI Registry.