MEDICARE: HILLCREST-MAYFIELD EYE ASSOCIATES, INC.

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	580800	OH

General Provider Information

NPI Number	:	1427051697
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HILLCREST-MAYFIELD EYE ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	6770 MAYFIELD RD
Second Line	:	STE 338
City	:	MAYFIELD HTS
State	:	OH
Zip	:	44124-2299
Country	:	US
Telephone Number	:	440-442-4330
Fax Number	:	440-442-4695

Provider Business Practice Location Address
First Line	:	6770 MAYFIELD RD
Second Line	:	STE 338
City	:	MAYFIELD HTS
State	:	OH
Zip	:	44124-2299
Country	:	US
Telephone Number	:	440-442-4330
Fax Number	:	440-442-4695

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. Y. VICTOR SHIN
Credential	:	M.D.
Telephone Number	:	440-442-4330

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	03/01/2013

Similar Medicare Providers

1487657672 — DR. Y. VICTOR SHIN M.D.
Practice Location Address:

6770 MAYFIELD RD , STE 338
MAYFIELD HTS, OH
44124-2299

Practice Phone: 440-442-4330
Practice Fax: 440-442-4695

1760485999 — DR. DINKAR V RAO M.D.
Practice Location Address:

6770 MAYFIELD RD , STE 223
MAYFIELD HTS, OH
44124-2299

Practice Phone: 440-461-9060
Practice Fax: 440-460-2848

1316940406 — DR. LEONARD C. TUCKER M.D.
Practice Location Address:

6770 MAYFIELD RD , STE 338
MAYFIELD HTS, OH
44124-2299

Practice Phone: 440-442-4330
Practice Fax: 440-442-4695

1316940414 — RANDAL E. MARCH MD
Practice Location Address:

6770 MAYFIELD RD , # 338
MAYFIELD HTS, OH
44124-2299

Practice Phone: 440-442-4330
Practice Fax: 440-442-4695

1265436661 — HILLCREST ATRIUM PHARMACY, INC
Practice Location Address:

6770 MAYFIELD RD
MAYFIELD HTS, OH
44124-2299

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1578564050 — NANCY MARIE ADAMSON M.A.
Practice Location Address:

6770 MAYFIELD RD , SUITE 421
MAYFIELD HTS, OH
44124-2299

Practice Phone: 440-312-3681
Practice Fax:

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