MEDICARE: CHERYL ANDLER 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	390200000X	Student in an Organized Health Care Education/Training Program	OPT. 6439	OH
2	152W00000X	Optometrist	OPT. 6439	OH

General Provider Information

NPI Number	:	1497105472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL ANDLER O.D.

Provider Business Mailing Address
First Line	:	7305 BROADVIEW ROAD
Second Line	:	SUITE F
City	:	SEVEN HILLS
State	:	OH
Zip	:	44131-4442
Country	:	US
Telephone Number	:	216-642-7373
Fax Number	:	216-642-7383

Provider Business Practice Location Address
First Line	:	7305 BROADVIEW ROAD
Second Line	:	SUITE F
City	:	SEVEN HILLS
State	:	OH
Zip	:	44131-4442
Country	:	US
Telephone Number	:	216-642-7373
Fax Number	:	216-642-7383

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

Provider Enumeration Date	:	06/21/2016
Last Update Date	:	06/11/2021

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