Provider Demographics
NPI:1497105472
Name:ANDLER, CHERYL (OD)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:ANDLER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7305 BROADVIEW ROAD
Mailing Address - Street 2:SUITE F
Mailing Address - City:SEVEN HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44131-4442
Mailing Address - Country:US
Mailing Address - Phone:216-642-7373
Mailing Address - Fax:216-642-7383
Practice Address - Street 1:7305 BROADVIEW ROAD
Practice Address - Street 2:SUITE F
Practice Address - City:SEVEN HILLS
Practice Address - State:OH
Practice Address - Zip Code:44131-4442
Practice Address - Country:US
Practice Address - Phone:216-642-7373
Practice Address - Fax:216-642-7383
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOPT. 6439390200000X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program