Provider Demographics
NPI:1548575467
Name:CLEVELAND, GENEVA LEIGH (OD)
Entity Type:Individual
Prefix:DR
First Name:GENEVA
Middle Name:LEIGH
Last Name:CLEVELAND
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MS
Other - First Name:GENEVA
Other - Middle Name:LEIGH
Other - Last Name:STEINBACHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:2150 PENNSYLVANIA AVENUE, NW, SUITE 2A
Mailing Address - Street 2:GWU MFA DEPARTMENT OF OPHTHALMOLOGY
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037
Mailing Address - Country:US
Mailing Address - Phone:202-741-2800
Mailing Address - Fax:202-741-2805
Practice Address - Street 1:2150 PENNSYLVANIA AVE NW
Practice Address - Street 2:SUITE 2A
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-3201
Practice Address - Country:US
Practice Address - Phone:202-741-2800
Practice Address - Fax:202-741-2805
Is Sole Proprietor?:No
Enumeration Date:2010-08-16
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCOP1000228152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist