Cleveland Eye Care & Surgery, Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

CLEVELAND EYE CARE & SURGERY, INC.

Practice address

24755 Chagrin Blvd
Suite 345
Beachwood, OH 44122-5692

Phone

(216) 297-3230

Fax

(216) 342-5290

NPI assigned

Apr 19, 2011

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) 297-3230

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1811287220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24755 CHAGRIN BLVD",
            "address_2": "SUITE 345",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225692",
            "telephone_number": "216-297-3230",
            "fax_number": "216-342-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24755 CHAGRIN BLVD",
            "address_2": "SUITE 345",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225692",
            "telephone_number": "216-297-3230",
            "fax_number": "216-342-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND EYE CARE & SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2016-08-04",
        "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",
        "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": "0053591",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS AND BLUE SHIELD",
            "identifier": "000000725689",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cleveland Clinic Foundation
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• Cleveland East Vascular Care, LLC
• Cleveland Family Therapy LLC
• Cleveland Hearing & Balance Center Inc
• Cleveland Kidney Disease Associates
• Cleveland Nutrition, LLC
• Cleveland Pain Management and Acupuncture LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.