Organization Active NPI

Cleveland Ophthalmology, LLC

  • Ophthalmology Physician
  • Garfield Heights, OH
National Provider Identifier
1891052999
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CLEVELAND OPHTHALMOLOGY, LLC
Practice address
12000 McCracken Road
Suite 101
Garfield Heights, OH 44125
Phone
(216) 581-0470
NPI assigned
Apr 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Authorized official

Name
Ildiko T Kondray, MD
Title
Member
Phone
(216) 581-0470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

12000 McCracken Road
Suite 101
Garfield Heights, OH 44125

Mailing address

12000 McCracken Road
Suite 101
Garfield Heights, OH 44125
Phone (216) 581-0470

National Provider Directory

National Provider Directory
Tax ID family
Cleveland Ophthalmology LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

12000 McCracken Rd
Ste 101
Garfield Hts, OH 44125
Phone (216) 581-0470

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1891052999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 MCCRACKEN ROAD",
            "address_2": "SUITE 101",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "44125",
            "telephone_number": "216-581-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 MCCRACKEN ROAD",
            "address_2": "SUITE 101",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "44125",
            "telephone_number": "216-581-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND OPHTHALMOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "KONDRAY",
        "authorized_official_first_name": "ILDIKO",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "216-581-0470",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.