Organization
MARYMOUNT OPTICAL
Active
Parent organization
CLEVELAND OPHTHALMOLOGY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEVELAND OPHTHALMOLOGY LLC
Authorized official
DR. ILDIKO KONDRAY M.D. (MEMBER)
(216) 581-0470
Entity
Organization
Contact information
Practice address
12000 MCCRACKEN RD STE 101, GARFIELD HTS, OH 44125-2933
(216) 581-0470
(216) 581-0474
Mailing address
12000 MCCRACKEN RD STE 101, GARFIELD HTS, OH 44125-2933
(216) 581-0470
(216) 581-0474
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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