Healthcare Provider Details

I. General information

NPI: 1932208733
Provider Name (Legal Business Name): NORTHEAST OHIO EYE SURGEONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2013 STATE ROUTE 59
KENT OH
44240-4113
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: 330-678-0201
  • Fax: 330-678-4272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: LAWRENCE E LOHMAN
Title or Position: PHYSICIAN/DIRECTOR
Credential:
Phone: 330-678-0201