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Organization
RETINA ASSOCIATES OF CLEVELAND, INC.
Active
Organization
RETINA ASSOCIATES OF CLEVELAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LAUGHLIN (DIRECTOR OF REVENUE)
(216) 831-5704
Entity
Organization
Contact information
Practice address
24075 COMMERCE PARK, BEACHWOOD, OH 44122-5846
(216) 831-5700
(216) 831-1959
Mailing address
24075 COMMERCE PARK, BEACHWOOD, OH 44122-5846
(216) 831-5700
(216) 831-1959
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
NULL
207W00000X
Ophthalmology Physician
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
NULL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0491310
—
OH
Enumeration date
09/01/2005
Last updated
03/24/2021
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