NPIMap

Organization Active NPI

Cleveland Eye Care & Surgery, Inc

  • Ophthalmology Physician
  • North Olmsted, OH
National Provider Identifier
1073881017
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CLEVELAND EYE CARE & SURGERY, INC
Practice address
832 Great Northern Mall
North Olmsted, OH 44070-3300
Phone
(440) 777-9904
NPI assigned
Dec 6, 2011
Last updated
Dec 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Authorized official

Name
David J MitchellNPI 1043203045
Title
President
Phone
(216) 297-3230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

832 Great Northern Mall
North Olmsted, OH 44070-3300

Mailing address

1611 S Green Rd
Suite 306D
Cleveland, OH 44121-4129
Phone (216) 297-3230

National Provider Directory

National Provider Directory
Tax ID family
Cleveland Eye Care Surgery Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1611 S Green Rd
Ste 306D
South Euclid, OH 44121
Phone (216) 297-3230

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1073881017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 S GREEN RD",
            "address_2": "SUITE 306D",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441214129",
            "telephone_number": "216-297-3230",
            "fax_number": "216-291-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 GREAT NORTHERN MALL",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703300",
            "telephone_number": "440-777-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND EYE CARE & SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-297-3230"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.