MEDICARE: ELIZABETH S. ESPARAZ M.D., LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1164158853
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELIZABETH S. ESPARAZ M.D., LLC

Provider Business Mailing Address
First Line	:	31502 EDGEWOOD RD
Second Line	:
City	:	PEPPER PIKE
State	:	OH
Zip	:	44124-5118
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6551 WILSON MILLS RD STE 103
Second Line	:
City	:	MAYFIELD VILLAGE
State	:	OH
Zip	:	44143-3425
Country	:	US
Telephone Number	:	440-291-3051
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ELIZABETH ESPARAZ
Credential	:	M.D.
Telephone Number	:	440-829-9022

Provider Enumeration Date	:	07/26/2022
Last Update Date	:	07/26/2022

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