| Western Reserve Eye Associates, Inc. | |
|
1155 State Route 303, Streetsboro, OH 44241-3969 | |
| (330) 422-2020 | |
| (330) 422-0316 |
| Full Name | Western Reserve Eye Associates, Inc. |
|---|---|
| Type | Facility |
| Speciality | Specialist |
| Location | 1155 State Route 303, Streetsboro, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821000753 | NPI | - | NPPES |
| 2188912 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | T1453 (Ohio) | Secondary |
| 174400000X | Specialist | OH35046927R (Ohio) | Primary |
| Provider Name | Peter Schmid |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508807165 PECOS PAC ID: 4082685565 Enrollment ID: I20040924000685 |
| Provider Name | Shamik Bafna |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740259829 PECOS PAC ID: 1557365822 Enrollment ID: I20070907000529 |
| Provider Name | Stanley Warn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912004391 PECOS PAC ID: 8527241330 Enrollment ID: I20110331000256 |
| Provider Name | William F Wiley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689687147 PECOS PAC ID: 6002880341 Enrollment ID: I20110804000420 |
| Provider Name | Robert E Woodruff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194729533 PECOS PAC ID: 4981643178 Enrollment ID: I20111203000046 |
| Provider Name | Daniel J Pierre |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659545051 PECOS PAC ID: 5395900161 Enrollment ID: I20120628000298 |
| Provider Name | Alexandra Potter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124649215 PECOS PAC ID: 2264835792 Enrollment ID: I20210722001645 |
| Provider Name | Mackenzie May Gershom |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386382877 PECOS PAC ID: 1355723479 Enrollment ID: I20220804003496 |
| Provider Name | Alexander Dessecker Jones |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699468116 PECOS PAC ID: 9335506328 Enrollment ID: I20230607000331 |
| Provider Name | Sofia Elbaamrani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568813103 PECOS PAC ID: 0244525715 Enrollment ID: I20240410003376 |
| Provider Name | William Weber Mcgann |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558454728 PECOS PAC ID: 5193248318 Enrollment ID: I20250328001436 |
| Mailing Address | Practice Location Address |
|---|---|
| Western Reserve Eye Associates, Inc. 1155 State Route 303, Streetsboro, OH 44241-3969 Ph: (330) 422-2020 | Western Reserve Eye Associates, Inc. 1155 State Route 303, Streetsboro, OH 44241-3969 Ph: (330) 422-2020 |