MEDICARE: DR. CAROLINE ELIZABETH OBERMEIER OD

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	OPT.007234	OH

General Provider Information

NPI Number	:	1689363061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROLINE ELIZABETH OBERMEIER OD

Provider Business Mailing Address
First Line	:	3777 NICHOLS RD
Second Line	:
City	:	MEDINA
State	:	OH
Zip	:	44256-9299
Country	:	US
Telephone Number	:	330-461-4552
Fax Number	:

Provider Business Practice Location Address
First Line	:	2740 CARNEGIE AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44115-2627
Country	:	US
Telephone Number	:	216-621-6132
Fax Number	:	216-621-2803

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

Provider Enumeration Date	:	05/02/2023
Last Update Date	:	12/20/2024

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