Cleveland Eye Specialists and Consultants, Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

CLEVELAND EYE SPECIALISTS AND CONSULTANTS, INC.

Practice address

6390 Pearl Rd
Parma, OH 44130-3073

Phone

(216) 291-3550

Fax

(216) 291-4849

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

David J Mitchell, M.D.

Title

President

Phone

(216) 291-3550

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1801933734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 S GREEN RD",
            "address_2": "SUITE 306B",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441214128",
            "telephone_number": "216-291-3550",
            "fax_number": "216-291-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6390 PEARL RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441303073",
            "telephone_number": "216-291-3550",
            "fax_number": "216-291-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND EYE SPECIALISTS AND CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-10-23",
        "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": "216-291-3550",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2007929",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD7175",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanette Clark, APRN
• Ruby Clarke
• Nadine Clement, LPN
• Cleveland Compounding Pharmacy
• Cleveland Eye Care & Surgery, Inc.
• Cleveland Lower Extremity Specialists, LLC
• Cleveland Pain Management & Wellness Center
• Cleveland Pain Management & Wellness Center Inc
• Cleveland Postpartum Wellness
• Cleveland Vamc

• Ophthalmology Physician in Parma, OH
• Providers in Parma, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.