# JEFFREY H. STOCKFISH MD, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northern Ohio Retinal Consultants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225052939
- **Authorized official:** DR. JEFFREY H. STOCKFISH MD (PRESIDENT)
- **Authorized official phone:** (440) 460-2822

## Contact information

- **Practice address:** 6690 BETA DR, STE 312, MAYFIELD VILLAGE, OH 44143-2361
- **Practice address phone:** (440) 460-2822
- **Practice address fax:** (440) 460-2825
- **Mailing address:** 6690 BETA DR, STE 312, MAYFIELD VILLAGE, OH 44143-2361
- **Mailing address phone:** (440) 460-2822
- **Mailing address fax:** (440) 460-2825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 35-05-2647-S | OH | Yes |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 04/08/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0816755 | — | OH |