Healthcare Provider Details

I. General information

NPI: 1013225150
Provider Name (Legal Business Name): CLEVELAND VISION CENTER II LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2010
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6390 PEARL RD
PARMA HEIGHTS OH
44130-3066
US

IV. Provider business mailing address

6204 BROOKPARK RD
CLEVELAND OH
44129-1218
US

V. Phone/Fax

Practice location:
  • Phone: 216-351-6270
  • Fax: 216-351-6130
Mailing address:
  • Phone: 216-351-6270
  • Fax: 216-351-6130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number4481
License Number StateOH

VIII. Authorized Official

Name: DR. PETER VICTOR MOGYORDY
Title or Position: OWNER
Credential: OD
Phone: 216-402-9175