Provider Demographics
NPI:1184781189
Name:WORKMAN, BETH ANN (OD)
Entity type:Individual
Prefix:DR
First Name:BETH
Middle Name:ANN
Last Name:WORKMAN
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33113 REDWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:AVON LAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44012-1325
Mailing Address - Country:US
Mailing Address - Phone:440-933-5154
Mailing Address - Fax:440-282-3300
Practice Address - Street 1:33113 REDWOOD BLVD
Practice Address - Street 2:
Practice Address - City:AVON LAKE
Practice Address - State:OH
Practice Address - Zip Code:44012-1325
Practice Address - Country:US
Practice Address - Phone:440-933-5154
Practice Address - Fax:440-282-3300
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3207152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHT46870Medicare UPIN