Organization
CHAGRIN VALLEY OPTOMETRISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN WILSON (BILLING)
(440) 708-0020
Entity
Organization
Contact information
Practice address
16706 CHILLICOTHE RD STE 500, CHAGRIN FALLS, OH 44023-4573
(440) 708-0020
(440) 708-0302
Mailing address
16706 CHILLICOTHE RD STE 500, CHAGRIN FALLS, OH 44023-4573
(440) 708-0020
(440) 708-0302
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3865
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000228073
ANTHEM
OH
01
—
2529900
UNTED HEALTHCARE
OH
Enumeration date
12/14/2007
Last updated
11/18/2025
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