Healthcare Provider Details

I. General information

NPI: 1447925508
Provider Name (Legal Business Name): NORTHEAST OHIO EYE SURGEONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2021
Last Update Date: 08/11/2021
Certification Date: 08/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36991 AMERICAN WAY
AVON OH
44011-4060
US

IV. Provider business mailing address

2013 STATE ROUTE 59
KENT OH
44240-4113
US

V. Phone/Fax

Practice location:
  • Phone: 330-678-0201
  • Fax: 330-678-4272
Mailing address:
  • Phone: 330-367-8020
  • Fax: 330-367-8427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: LAWRENCE E LOHMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 330-678-0201