# CLEVELAND EYE CARE & SURGERY, INC.

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

## Provider details

- **NPI number:** 1558651968
- **Authorized official:** DAVID J MITCHELL M.D, (PRESIDENT)
- **Authorized official phone:** (216) 297-3230

## Contact information

- **Practice address:** 36100 EUCLID AVE, SUITE 450, WILLOUGHBY, OH 44094-4456
- **Practice address phone:** (216) 297-3230
- **Practice address fax:** (216) 291-4849
- **Mailing address:** 24755 CHAGRIN BLVD, SUITE 345, BEACHWOOD, OH 44122-5682
- **Mailing address phone:** (216) 297-3230
- **Mailing address fax:** (216) 342-5290

## Taxonomy

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

## Other

- **Enumeration date:** 04/19/2011
- **Last updated:** 01/23/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000725689 | ANTHEM BLUE CROSS AND BLUE SHIELD | — |