Provider Demographics
NPI:1073544631
Name:UNGIER, MIRFEE K
Entity Type:Individual
Prefix:DR
First Name:MIRFEE
Middle Name:K
Last Name:UNGIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6770 MAYFIELD RD
Mailing Address - Street 2:STE 338
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2299
Mailing Address - Country:US
Mailing Address - Phone:440-743-7456
Mailing Address - Fax:440-743-7459
Practice Address - Street 1:6820 RIDGE RD
Practice Address - Street 2:102
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-5646
Practice Address - Country:US
Practice Address - Phone:440-743-7456
Practice Address - Fax:440-743-7459
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35 045261207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHA80894Medicare UPIN
OH4534740001Medicare NSC