The Cleveland Clinic Foundation

Specialty details in registry · Wellington, OH

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At a glance

805 Patriot Dr Ste E, Wellington, OH 44090-8951

NPPES record updated Jan 6, 2022. Public records can lag behind changes at a practice.

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Practice location

805 Patriot Dr Ste E
Wellington, OH 44090-8951
Professional details: NPI, taxonomy & registry record
NPI1063920130
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
332H00000X
Enumeration date
Jan 11, 2018
Record updated
Jan 6, 2022
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Optometrist

152W00000X

Specialty details in registry

332H00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

805 Patriot Dr Ste E
Wellington, OH 44090-8951
Phone
(440) 647-0004
Mailing address
6801 BRECKSVILLE RD
SUITE 20, RK2-7
INDEPENDENCE, OH 441315062
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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