Provider Demographics
NPI:1205287521
Name:DR CAITLIN S FILIPS
Entity type:Organization
Organization Name:DR CAITLIN S FILIPS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CAITLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FILIPS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:440-891-1940
Mailing Address - Street 1:487 W BAGLEY RD
Mailing Address - Street 2:
Mailing Address - City:BEREA
Mailing Address - State:OH
Mailing Address - Zip Code:44017-1326
Mailing Address - Country:US
Mailing Address - Phone:440-891-1940
Mailing Address - Fax:440-891-9028
Practice Address - Street 1:487 W BAGLEY RD
Practice Address - Street 2:
Practice Address - City:BEREA
Practice Address - State:OH
Practice Address - Zip Code:44017-1326
Practice Address - Country:US
Practice Address - Phone:440-891-1940
Practice Address - Fax:440-891-9028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-28
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5791152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty