Organization
UNIVERSITY HOSPITALS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MCELROY (VP)
(216) 767-8717
Entity
Organization
Contact information
Practice address
11100 EUCLID AVE, SUITE 3200, CLEVELAND, OH 44106-1716
(216) 844-3601
(216) 844-7117
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6616
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691903
—
OH
Enumeration date
06/24/2009
Last updated
11/15/2010
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