| NPI | 1568458925 |
|---|---|
| Doing Business As | CLEVELAND CLINIC PARK AVE WEST |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L. LONGVILLE Chief Acct Officer And Controller 216-636-7416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2022-03-31 |