1538198106 NPI number — CATARACT EYE CENTER OF CLEVELAND, INC

Table of content: (NPI 1538198106)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538198106 NPI number — CATARACT EYE CENTER OF CLEVELAND, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CATARACT EYE CENTER OF CLEVELAND, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CORRECTIVE EYE CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538198106
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/03/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
26300 EUCLID AVE
Provider Second Line Business Mailing Address:
SUITE 312
Provider Business Mailing Address City Name:
EUCLID
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44132-3708
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
216-574-6199
Provider Business Mailing Address Fax Number:
216-325-0352

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
26300 EUCLID AVE
Provider Second Line Business Practice Location Address:
SUITE 312
Provider Business Practice Location Address City Name:
EUCLID
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44132-3708
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-574-6199
Provider Business Practice Location Address Fax Number:
216-325-0352
Provider Enumeration Date:
07/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ZAMPOUNIS
Authorized Official First Name:
KATHLEEN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRACTICE ADMINISTRATOR
Authorized Official Telephone Number:
216-574-6199

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: CB2187 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com