# UNIVERSITY HOSPITALS MEDICAL GROUP

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

## Provider details

- **NPI number:** 1720216237
- **Authorized official:** LARRY MCELROY (VP)
- **Authorized official phone:** (216) 767-8717

## Contact information

- **Practice address:** 11100 EUCLID AVE, SUITE 3200, CLEVELAND, OH 44106-1716
- **Practice address phone:** (216) 844-3601
- **Practice address fax:** (216) 844-7117
- **Mailing address:** 24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
- **Mailing address phone:** (216) 383-6616

## Taxonomy

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

## Other

- **Enumeration date:** 06/24/2009
- **Last updated:** 11/15/2010