Individual
CAROLINE HABERTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D./M.S.
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6733
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6377
OHIO STATE BOARD OF OPTOMETRY LICENSE NUMBER
OH
01
—
T3294
OHIO STATE BOARD OF OPTOMETRY THERAPEUTIC CERTIFICATE NUMBER
OH
Enumeration date
04/14/2015
Last updated
08/20/2025
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