# UNIVERSITY PRIMARY CARE PRACTICE

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

## Provider details

- **NPI number:** 1306064571
- **Authorized official:** ELAINE JAWORSKI (OFFICE MANAGER)
- **Authorized official phone:** (216) 383-6480

## Contact information

- **Practice address:** 950 CLAGUE RD, WESTLAKE, OH 44145-1503
- **Practice address phone:** (216) 383-0100
- **Practice address fax:** (216) 383-6481
- **Mailing address:** PO BOX 92995, CLEVELAND, OH 44194-2995
- **Mailing address phone:** (216) 383-6480
- **Mailing address fax:** (216) 383-6745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 08/22/2020