MEDICARE: OPHTHALMOLOGY PHYSICIANS & SURGEONS 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	152W00000X	Optometrist	5584	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	:	1467553537
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPHTHALMOLOGY PHYSICIANS & SURGEONS INC

Provider Business Mailing Address
First Line	:	18660 BAGLEY RD
Second Line	:	BUILDING 1, SUITE 101
City	:	MIDDLEBURG HEIGHTS
State	:	OH
Zip	:	44130-3483
Country	:	US
Telephone Number	:	440-243-7400
Fax Number	:	440-243-9034

Provider Business Practice Location Address
First Line	:	18660 BAGLEY RD
Second Line	:	BUILDING 1, SUITE 101
City	:	MIDDLEBURG HEIGHTS
State	:	OH
Zip	:	44130-3483
Country	:	US
Telephone Number	:	440-243-7400
Fax Number	:	440-243-9034

Authorized Official
Title or Position	:	OWNER
Name	:	LAWRENCE SINGERMAN
Credential	:	MD
Telephone Number	:	440-243-7400

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	10/20/2014

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Directions to “OPHTHALMOLOGY PHYSICIANS & SURGEONS INC ” Practice Location

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