Dr Stephen C Sulyi OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR STEPHEN C SULYI OD LLC

Practice address

118 Chimney RDG
Chardon, OH 44024

Phone

(864) 884-7432

Fax

(864) 688-2307

NPI assigned

Sep 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Stephen C Sulyi, OD

Title

Owner

Phone

(864) 884-7432

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544659200000",
    "number": "1972885994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CHIMNEY RDG",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440244006",
            "telephone_number": "864-884-7432",
            "fax_number": "864-688-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CHIMNEY RDG",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "44024",
            "telephone_number": "864-884-7432",
            "fax_number": "864-688-2307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Sylvan Oak Way",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296812562",
            "country_code": "US",
            "telephone_number": "864-884-7432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR STEPHEN C SULYI OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2018-12-13",
        "status": "A",
        "authorized_official_last_name": "SULYI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-884-7432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0212124",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Chardon, OH
• Providers in Chardon, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; 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.