Organization
CLEVELAND EYE SPECIALISTS AND CONSULTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J MITCHELL M.D. (PRESIDENT)
(216) 291-3550
Entity
Organization
Contact information
Practice address
1611 S GREEN RD, SUITE 306B, SOUTH EUCLID, OH 44121-4128
(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
01
—
1193810001
DMERC MEDICARE
OH
05
—
2007929
—
OH
01
—
CD7175
RAILROAD MEDICARE
OH
Enumeration date
08/24/2005
Last updated
08/17/2018
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