Organization
UNIVERSITY HOSPITALS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MCELROY (VP)
(216) 767-8717
Entity
Organization
Contact information
Practice address
5850 LANDERBROOK DR, SUITE 306, MAYFIELD HEIGHTS, OH 44124-6531
(216) 844-3601
(216) 844-7117
Mailing address
3605 WARRENSVILLE CENTER RD, MSC9152, SHAKER HTS, OH 44122-5203
(216) 286-6299
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
OH
152WP0200X
Pediatric Optometrist
—
OH
207W00000X
Ophthalmology Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691903
—
OH
Enumeration date
06/18/2009
Last updated
06/18/2009
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