Organization Active NPI

The Cleveland Clinic Foundation

Doing business as Cleveland Clinic Cole Eye - Wellington

  • Eyewear Supplier
  • Wellington, OH
National Provider Identifier
1063920130
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
THE CLEVELAND CLINIC FOUNDATION
Doing business as
Cleveland Clinic Cole Eye - Wellington
Practice address
805 Patriot Dr Ste E
Wellington, OH 44090-8951
Phone
(440) 647-0004
NPI assigned
Jan 11, 2018
Last updated
Jan 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Authorized official

Name
Daniel Medve
Title
Director
Phone
(216) 973-3321

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OH Primary
Optometrist 152W00000X OH

Addresses

Primary practice location

805 Patriot Dr Ste E
Wellington, OH 44090-8951

Mailing address

6801 Brecksville Rd
Suite 20, RK2-7
Independence, OH 44131-5062
Phone (216) 636-4969

Other names 1

  • Cleveland Clinic Cole Eye - Wellington Doing business as

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1063920130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 BRECKSVILLE RD",
            "address_2": "SUITE 20, RK2-7",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441315062",
            "telephone_number": "216-636-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 PATRIOT DR STE E",
            "city": "WELLINGTON",
            "state": "OH",
            "postal_code": "440908951",
            "telephone_number": "440-647-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLEVELAND CLINIC FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "MEDVE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "216-973-3321"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Clinic Cole Eye - Wellington",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cleveland Clinic Cole Eye - Wellington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wellington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.