MEDICARE: CLEVELAND EYECARE AND OPTICAL. INC.

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	3371	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	22-00725	OTHER	OH	MEDICARE SECURE HORIZONS
2	22-00725	OTHER	OH	MEDICARE COMPLETE
7	410043002	OTHER	OH	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	5999196	OTHER	OH	AETNA
4	2200725	OTHER		UNITED HEALTH CARE
5	275581713003	OTHER	OH	MEDICAL MUTUAL
6	000000140520	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1295917102
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEVELAND EYECARE AND OPTICAL. INC.

Provider Business Mailing Address
First Line	:	850 BRAINARD RD
Second Line	:
City	:	HIGHLAND HEIGHTS
State	:	OH
Zip	:	44143-3146
Country	:	US
Telephone Number	:	440-684-0080
Fax Number	:	440-442-9088

Provider Business Practice Location Address
First Line	:	850 BRAINARD RD
Second Line	:
City	:	HIGHLAND HEIGHTS
State	:	OH
Zip	:	44143-3146
Country	:	US
Telephone Number	:	440-684-0080
Fax Number	:	440-442-9088

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SALWA SALIBA
Credential	:	O.D.
Telephone Number	:	440-684-0080

Provider Enumeration Date	:	12/03/2007
Last Update Date	:	12/06/2024

Similar Medicare Providers

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Practice Location Address:

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44143-3146

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1174938872 — ELIE GEORGE ELIAS DPM
Practice Location Address:

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1568438851 — DANIEL J CAVOLO D.P.M.
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1356384986 — DR. SALWA SALIBA O.D.
Practice Location Address:

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