FAIRVIEW EYE CENTER (NPI# 1164492591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164492591 |
| Entity Type | Organization |
| Organization Name | FAIRVIEW EYE CENTER |
| Other Organization Name | LAKEWOOD EYE CENTER |
| Practice Address |
16400 Hilliard Rd Lakewood OH 44107-5610 |
| Mailing Address |
21375 Lorain Rd Fairview Park OH 44126-2122 |
| Practice Telephone | 2162281800 |
| Practice Fax Number | 2162281162 |
| Mailing Telephone | 4403337346 |
| Mailing Fax Number | 4403330273 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2015-07-15 |
| Authorized Official Name | DR. LOUIS P CARAVELLA (PRESIDENT) |
| Authorized Official Telephone | 2162281800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | FAIRVIEW EYE CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 556859 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ADMINISTAR DME | 0769770001 | 01 |
| OH | 0826931 | 05 |
| Other Name | Type Code |
|---|---|
| LAKEWOOD EYE CENTER | Doing Business As Name - Organization |
| Street Address |
16400 HILLIARD RD |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-5610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770500274 | Gwen Giannini Miller | Optometrist | 16400 Hilliard Rd, Lakewood, OH 44107-5610 | 2006-07-17 |
| 1407851017 | Charles K Koster | Ophthalmology | 16400 Hilliard Rd, Lakewood, OH 44107-5610 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578030011 | Invision Eyecare Specialists | Ophthalmology | 1 State Route 70, Lakewood, NJ 08701-5895 | 2018-11-01 |
| 1154834562 | Fountain Anti-aging | Ophthalmology | 892 Beach Rd, Lakewood, OH 44107-1018 | 2017-11-07 |
| 1477064905 | Nj Eye Consultants | Ophthalmology | 101 Prospect St Ste 102, Lakewood, NJ 08701-5003 | 2017-10-24 |
| 1740689728 | Don Pearson | Ophthalmology | 6708 Bridgeport Way W, Lakewood, WA 98499-8115 | 2014-08-15 |
| 1386860575 | Marvin Isaac Gordon | Ophthalmology | 3300 E South St Ste 207, Lakewood, CA 90805-4549 | 2007-04-17 |
| 1962446690 | Jonathan Marc Barofsky | Ophthalmology | 1255 Route 70 Ste 31n, Lakewood, NJ 08701-5973 | 2006-06-15 |
| 1548219934 | Gregory A Kouyoumdjian | Ophthalmology | 2766 S Wadsworth Blvd., Lakewood, CO 80227 | 2006-05-10 |
| 1720049588 | Moshe M Rothkopf | Ophthalmology | 1195 Highway 70, Lakewood, NJ 08701-5946 | 2006-03-31 |
| 1003897729 | Thomas P Cliffel | Ophthalmology | 14200 Madison Ave, Lakewood, OH 44107-4510 | 2005-11-09 |
| 1427054469 | David R Benson | Ophthalmology | 5920 100th St Sw Ste 8, Lakewood, WA 98499-2751 | 2005-06-23 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.