Organization
CLEVELAND EYE AND LASER SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
22715 FAIRVIEW CENTER DR, FAIRVIEW PARK, OH 44126-3608
(440) 777-8400
Mailing address
22715 FAIRVIEW CENTER DR, FAIRVIEW PARK, OH 44126-3608
(440) 777-8400
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/03/2007
Last updated
05/20/2025
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