Active NPI
Walid Nasser
- Optician
- North Olmsted, OH
National Provider Identifier
1992197610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- S 5864
- Practice address
- 25102 Brookpark Rd
North Olmsted, OH 44070-6414 - Phone
- (440) 734-1030
- Fax
- (440) 734-0564
- NPI assigned
- Mar 4, 2015
- Last updated
- Mar 4, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | S 5864 | OH | Primary |
Addresses
Primary practice location
25102 Brookpark Rd
North Olmsted, OH 44070-6414
Mailing address
25102 Brookpark Rd
North Olmsted, OH 44070-6414
Phone (440) 734-1030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S 5864 | OH | MD | Optician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425427200000",
"number": "1992197610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25102 BROOKPARK RD",
"city": "NORTH OLMSTED",
"state": "OH",
"postal_code": "440706414",
"telephone_number": "440-734-1030",
"fax_number": "440-734-0564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25102 BROOKPARK RD",
"city": "NORTH OLMSTED",
"state": "OH",
"postal_code": "440706414",
"telephone_number": "440-734-1030",
"fax_number": "440-734-0564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASSER",
"first_name": "WALID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-04",
"last_updated": "2015-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "OH",
"license": "S 5864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Olmsted, OH
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- Nancy Duff-Boehm, PHD & Asssociates LLC (Action Recovery)
- National Vision Inc (America's Best Contacts & Eyeglasses)
- Suzanne Katrina Neforos
- Nelson Vein and Surgical Services LLC
- Dvora Y Nelson, M.D.
- Dung Nguyen, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.