Healthcare Provider Details

I. General information

NPI: 1518221696
Provider Name (Legal Business Name): JOSEPH DAVID SCHWARTZ O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2012
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10500 ROYALTON RD STE A
NORTH ROYALTON OH
44133-4402
US

IV. Provider business mailing address

23105 FAIRMOUNT BLVD
SHAKER HEIGHTS OH
44122-2182
US

V. Phone/Fax

Practice location:
  • Phone: 440-230-0923
  • Fax: 440-698-0013
Mailing address:
  • Phone: 216-302-8554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberTUV007874-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License NumberTUV007874-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: