# SURGICAL SUCCESS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1760554992
- **Authorized official:** MRS. ANGELA I PELTAN (OFFICE MANAGER CFO)
- **Authorized official phone:** (440) 871-2324

## Contact information

- **Practice address:** 28743 LINCOLN RD, BAY VILLAGE, OH 44140-2131
- **Practice address phone:** (440) 871-2324
- **Practice address fax:** (440) 871-2324
- **Mailing address:** 28743 LINCOLN RD, BAY VILLAGE, OH 44140-2131
- **Mailing address phone:** (440) 871-2324
- **Mailing address fax:** (440) 871-2324

## Taxonomy

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

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 11/16/2009