Organization
CLEVELAND EYE SPECIALISTS AND CONSULTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J MITCHELL M.D. (PRESIDENT)
(216) 291-3550
Entity
Organization
Contact information
Practice address
36100 EUCLID AVE, SUITE 450, WILLOUGHBY, OH 44094-4456
(216) 291-3550
(216) 291-4849
Mailing address
1611 S GREEN RD, SUITE 306B, SOUTH EUCLID, OH 44121-4128
(216) 291-3550
(216) 291-4849
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2007929
—
OH
01
—
CD7175
RAILROAD MEDICARE
—
Enumeration date
01/31/2007
Last updated
10/23/2007
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