MEDICARE: DR. MARCELA VIZMULLER O.D.

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	152W00000X	Optometrist	3443	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235221037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARCELA VIZMULLER O.D.

Provider Business Mailing Address
First Line	:	5287 NORTHFIELD RD UNIT A
Second Line	:
City	:	BEDFORD HEIGHTS
State	:	OH
Zip	:	44146-1131
Country	:	US
Telephone Number	:	440-232-3615
Fax Number	:	888-205-1472

Provider Business Practice Location Address
First Line	:	5287 NORTHFIELD RD UNIT A
Second Line	:
City	:	BEDFORD HEIGHTS
State	:	OH
Zip	:	44146-1131
Country	:	US
Telephone Number	:	440-232-3615
Fax Number	:	888-205-1472

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	07/25/2025

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