Healthcare Provider Details

I. General information

NPI: 1801008354
Provider Name (Legal Business Name): LINDA H OHSIE-BAJOR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDA H OHSIE M.D.

II. Dates (important events)

Enumeration Date: 05/05/2007
Last Update Date: 11/06/2020
Certification Date: 11/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 EUCLID AVE
CLEVELAND OH
44106-1716
US

IV. Provider business mailing address

20800 HARVARD RD 2ND FLOOR
HIGHLAND HILLS OH
44122-7251
US

V. Phone/Fax

Practice location:
  • Phone: 216-844-3601
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number35.129289
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD439534
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number25MA08985500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: