Cleveland Eye and Laser Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CLEVELAND EYE AND LASER SURGERY CENTER LLC

Practice address

22715 Fairview Center Dr
Fairview Park, OH 44126-3608

Phone

(440) 777-8400

NPI assigned

Jul 3, 2007

Organization subpart

No

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

Authorized official

Name

Jennifer Boyd Baldock

Title

Officer and Authorized Official

Phone

(615) 234-5954

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Cleveland Eye and Laser Surgery Center LLCCCN 36C0001238

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

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

• Ohiohealth Corporation

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1255377149

  Member Of

  NPD member

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David G. Miller, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Beachwood, OH
  • NPI 1992799191
  NPD
• Reno L. Alessio II, MD

  • Ophthalmology Physician
  • Strongsville, OH
  • NPI 1255390712
  NPD (past)

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1801094669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22715 FAIRVIEW CENTER DR",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263608",
            "telephone_number": "440-777-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22715 FAIRVIEW CENTER DR",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263608",
            "telephone_number": "440-777-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND EYE AND LASER SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CHC Physical Therapy, Inc.
• City of Fairview Park
• Classic Medical Staffing,LLC
• Classic Ms, LLC
• Cleveland Cardiovascular Research Foundation
• Cleveland Vascular Surg Asoc
• Megan Cody, PHARM.D.
• Comprehensive Vascular Centers, LLC
• James R Conforto, MD
• Rhonda S. Conn, CNP

• Ambulatory Surgical Clinic/Center in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.