Organization
THE CLEVELAND CLINIC FOUNDATION
Active
Other names
Cleveland Clinic Mohican Eye
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LARAWAY (EXECUTIVE VP CHIEF FINANCE OFFICER)
(216) 445-1343
Entity
Organization
Contact information
Practice address
637 N UNION ST, LOUDONVILLE, OH 44842-1074
(419) 994-4287
Mailing address
6801 BRECKSVILLE RD, STE 20, ATTN:DPC RK2-7, INDEPENDENCE, OH 44131-5062
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0935019
—
OH
Enumeration date
03/17/2008
Last updated
08/20/2025
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