Healthcare Provider Details

I. General information

NPI: 1851584387
Provider Name (Legal Business Name): CRAIG ALLEN CERNY O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2007
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

652 GREAT NORTHERN MALL
NORTH OLMSTED OH
44070-3306
US

IV. Provider business mailing address

7305 BROADVIEW RD SUITE F
SEVEN HILLS OH
44131
US

V. Phone/Fax

Practice location:
  • Phone: 440-734-4896
  • Fax:
Mailing address:
  • Phone: 216-642-7373
  • Fax: 216-642-7383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number5706
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: