# NORTHEASTERN EYE CENTER INC

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

## Provider details

- **NPI number:** 1295982312
- **Authorized official:** BETTY ROZAKIS (CFO)
- **Authorized official phone:** (440) 777-2667

## Contact information

- **Practice address:** 29111 CENTER RIDGE RD, WESTLAKE, OH 44145-5222
- **Practice address phone:** (440) 777-2667
- **Mailing address:** 892 BEACH RD, LAKEWOOD, OH 44107-1018
- **Mailing address phone:** (440) 777-2667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 35055038 | OH | Yes |

## Other

- **Enumeration date:** 08/20/2008
- **Last updated:** 10/12/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0655189 | — | OH |