# UNIVERSITY HOSPITALS MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265669196
- **Authorized official:** LARRY MCELROY (VP)
- **Authorized official phone:** (216) 767-8717

## Contact information

- **Practice address:** 5850 LANDERBROOK DR, SUITE 306, MAYFIELD HEIGHTS, OH 44124-6531
- **Practice address phone:** (216) 844-3601
- **Practice address fax:** (216) 844-7117
- **Mailing address:** 3605 WARRENSVILLE CENTER RD, MSC9152, SHAKER HTS, OH 44122-5203
- **Mailing address phone:** (216) 286-6299
- **Mailing address fax:** (216) 286-6341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | OH | — |
| 152WP0200X | Pediatric Optometrist | — | OH | — |
| 207W00000X | Ophthalmology Physician | — | OH | Yes |

## Other

- **Enumeration date:** 06/18/2009
- **Last updated:** 06/18/2009
