Provider Demographics
NPI:1003249103
Name:NORTHERN OHIO EYE CONSULTANTS, INC.
Entity Type:Organization
Organization Name:NORTHERN OHIO EYE CONSULTANTS, INC.
Other - Org Name:CLEVELAND EYE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:WILEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-550-4231
Mailing Address - Street 1:7001 S EDGERTON RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-4206
Mailing Address - Country:US
Mailing Address - Phone:440-550-4231
Mailing Address - Fax:440-740-0662
Practice Address - Street 1:88 CENTER RD
Practice Address - Street 2:SUITE 300
Practice Address - City:BEDFORD
Practice Address - State:OH
Practice Address - Zip Code:44146-2700
Practice Address - Country:US
Practice Address - Phone:440-439-2700
Practice Address - Fax:440-786-8264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-13
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty