Provider Demographics
NPI:1295917102
Name:CLEVELAND EYECARE AND OPTICAL. INC.
Entity type:Organization
Organization Name:CLEVELAND EYECARE AND OPTICAL. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SALWA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALIBA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:440-684-0080
Mailing Address - Street 1:850 BRAINARD RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-3146
Mailing Address - Country:US
Mailing Address - Phone:440-684-0080
Mailing Address - Fax:440-442-9088
Practice Address - Street 1:850 BRAINARD RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44143-3146
Practice Address - Country:US
Practice Address - Phone:440-684-0080
Practice Address - Fax:440-442-9088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3371152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH22-00725OtherMEDICARE SECURE HORIZONS
OH22-00725OtherMEDICARE COMPLETE
OH5999196OtherAETNA
2200725OtherUNITED HEALTH CARE
OH275581713003OtherMEDICAL MUTUAL
OH000000140520OtherANTHEM
OH410043002OtherMEDICARE RAILROAD
OH410043002OtherMEDICARE RAILROAD
OH22-00725OtherMEDICARE COMPLETE