WESTERN RESERVE EYE ASSOCIATES NPI 1821000753

NPI Information

  • NPI: 1821000753
  • Provider Name: WESTERN RESERVE EYE ASSOCIATES
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 1155 STATE ROUTE 303
    STREETSBORO, OH
    ZIP 44241
  • Phone: (330) 422-9999

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NPI Details

WESTERN RESERVE EYE ASSOCIATES is a specialist in Streetsboro, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WESTERN RESERVE EYE ASSOCIATES NPI is 1821000753. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1155 STATE ROUTE 303
STREETSBORO, OH
ZIP 44241-969
Phone: (330) 422-9999
Fax: (330) 422-0316

The provider's authorized official is Sharon R Kernig .
The authorized official title is Office Manager and has the following contact phone number (330) 422-9999.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 8/26/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristT1453OHIONo
2174400000XSpecialistOH35046927ROHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11325590001MEDICARE NSCOHIO
22188912MEDICAIDOHIO
39309071MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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