Provider Demographics
NPI:1629833496
Name:FOREST CITY VISION LLC
Entity Type:Organization
Organization Name:FOREST CITY VISION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWENR
Authorized Official - Prefix:DR
Authorized Official - First Name:ZACHERY
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:WEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:216-468-8020
Mailing Address - Street 1:3690 ORANGE PL STE 310
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4438
Mailing Address - Country:US
Mailing Address - Phone:216-468-8020
Mailing Address - Fax:216-468-8020
Practice Address - Street 1:3690 ORANGE PL STE 310
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4438
Practice Address - Country:US
Practice Address - Phone:216-468-8020
Practice Address - Fax:216-468-8020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Single Specialty