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 |