Organization
CLEVELAND EYE CARE & SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J MITCHELL M.D. (PRESIDENT)
(216) 297-3230
Entity
Organization
Contact information
Practice address
24755 CHAGRIN BLVD, SUITE 345, BEACHWOOD, OH 44122-5692
(216) 297-3230
(216) 342-5290
Mailing address
24755 CHAGRIN BLVD, SUITE 345, BEACHWOOD, OH 44122-5692
(216) 297-3230
(216) 342-5290
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000725689
ANTHEM BLUE CROSS AND BLUE SHIELD
—
05
—
0053591
—
OH
Enumeration date
04/19/2011
Last updated
08/04/2016
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