Jerold Optical Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1267-S Issued in OH

Legal business name

JEROLD OPTICAL INC.

Practice address

800 Huron Rd E
Cleveland, OH 44115-1121

Phone

(216) 781-7900

Fax

(216) 781-0554

NPI assigned

Feb 2, 2007

Last updated

Jul 6, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Ellen Rubin, L.D.O.NPI 1467888693

Title

President

Phone

(216) 781-7900

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Ellen Rubin

  • Optician
  • Cleveland, OH
  • NPI 1467888693
  NPD Authorized official

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1932247996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HURON RD.",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441151121",
            "telephone_number": "216-781-7900",
            "fax_number": "216-781-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HURON RD E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441151121",
            "telephone_number": "216-781-7900",
            "fax_number": "216-781-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROLD OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-781-7900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "1267-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4360507",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Rafael Jerez Diaz, MD
• Latia N Jerido
• Dean Jeris, P.T.
• Brittinie Jermon
• Amelia Marie Jernigan, M.D.
• Jerold P. Gurley M.D. , P.C. , Inc.
• Laura Jane Jerome, FNP-BC
• Gerald Jeromin, MD
• Jerry's Southern Home Cooking LLC
• Joan M Jersan, CNS

• Optician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Optician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.