Organization
FAIRVIEW EYE CENTER
Active
Parent organization
FAIRVIEW EYE CENTER
Other names
LAKEWOOD EYE CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAIRVIEW EYE CENTER
Authorized official
DR. LOUIS P CARAVELLA MD (PRESIDENT)
(216) 228-1800
Entity
Organization
Contact information
Practice address
16400 HILLIARD RD, LAKEWOOD, OH 44107-5610
(216) 228-1800
(216) 228-1162
Mailing address
21375 LORAIN RD, FAIRVIEW PARK, OH 44126-2122
(440) 333-7346
(440) 333-0273
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
556859
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0769770001
ADMINISTAR DME
OH
05
—
0826931
—
OH
Enumeration date
01/26/2006
Last updated
07/15/2015
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