Individual provider Active NPI

Eric Jon Patten, O.D.

  • Optometrist
  • Strongsville, OH
National Provider Identifier
1992848444
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5141 Issued in OH
Practice address
19796 W 130TH St
Strongsville, OH 44136-8435
Phone
(440) 846-3937
Fax
(440) 836-9515
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5141 OH Primary

Addresses

Primary practice location

19796 W 130TH St
Strongsville, OH 44136-8435

Mailing address

19796 W 130TH St
Strongsville, OH 44136-8435
Phone (440) 846-3937

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
I20181203002005 OH Practitioner - Optometry 0648179309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitaleyes LLCGroup PAC ID 7618211640, 2 clinicians

Practice addresses (Care Compare)

19796 W 130TH St
Strongsville, OH 44136-8435
Phone (440) 846-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5141OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vitaleyes, LLC Optometrist CurrentSince Oct 16, 2018 Accepting new patients
Eric Patten, O.D. & Associates, Inc. Optometrist Past Accepting new patients

Locations

19796 W 130th St
Strongsville, OH 44136
Phone (440) 846-3937

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1992848444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19796 W 130TH ST",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441368435",
            "telephone_number": "440-846-3937",
            "fax_number": "440-836-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19796 W 130TH ST",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441368435",
            "telephone_number": "440-846-3937",
            "fax_number": "440-836-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTEN",
        "first_name": "ERIC",
        "middle_name": "JON",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

Verify at the official NPI Registry.