MEDICARE: LIDIJA MARIJA BALCIUNAS OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	3915	OH

General Provider Information

NPI Number	:	1215013016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIDIJA MARIJA BALCIUNAS OD

Provider Business Mailing Address
First Line	:	1909 E 101ST ST
Second Line	:	CLEVELAND SIGHT CENTER
City	:	CLEVELAND
State	:	OH
Zip	:	44106
Country	:	US
Telephone Number	:	216-791-8118
Fax Number	:	216-791-1101

Provider Business Practice Location Address
First Line	:	1909 E 101ST ST
Second Line	:	CLEVELAND SIGHT CENTER
City	:	CLEVELAND
State	:	OH
Zip	:	44106
Country	:	US
Telephone Number	:	216-791-8118
Fax Number	:	216-791-1101

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	03/24/2025

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