Healthcare Provider Details

I. General information

NPI: 1457051377
Provider Name (Legal Business Name): CERNY VISION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2023
Last Update Date: 03/08/2023
Certification Date: 03/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7305 BROADVIEW RD STE F
SEVEN HILLS OH
44131-4443
US

IV. Provider business mailing address

7305 BROADVIEW RD STE F
SEVEN HILLS OH
44131-4443
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANGELINA CERNY
Title or Position: PRESIDENT
Credential: OD
Phone: 440-503-6999