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General NPI Number Information
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NPI Number | 1568541407
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Entity Type | Individual
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Provider Name | JOAQUIN VELOSO LIM O.D.
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Gender | Male
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 13545 EUCLID AVE
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City | EAST CLEVELAND
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State | OH
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Zip | 44112-4205
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Country | US
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Telephone | 216-451-4400
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Fax | 216-451-1424
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Provider Business Mailing Address
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Address Line | 13545 EUCLID AVE
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City | EAST CLEVELAND
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State | OH
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Zip | 44112-4205
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Country | US
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Telephone | 216-451-4400
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Fax | 216-451-1424
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4120/T1088
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1432/P749A
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 4120
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License Number State | OH
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