Provider Demographics
NPI:1467553537
Name:OPHTHALMOLOGY PHYSICIANS & SURGEONS INC
Entity Type:Organization
Organization Name:OPHTHALMOLOGY PHYSICIANS & SURGEONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-243-7400
Mailing Address - Street 1:18660 BAGLEY RD
Mailing Address - Street 2:BUILDING 1, SUITE 101
Mailing Address - City:MIDDLEBURG HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-3483
Mailing Address - Country:US
Mailing Address - Phone:440-243-7400
Mailing Address - Fax:440-243-9034
Practice Address - Street 1:18660 BAGLEY RD
Practice Address - Street 2:BUILDING 1, SUITE 101
Practice Address - City:MIDDLEBURG HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-3483
Practice Address - Country:US
Practice Address - Phone:440-243-7400
Practice Address - Fax:440-243-9034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5584152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0619361Medicaid
OH0619361Medicaid