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Contact Information

CHAGRIN VALLEY OPTOMETRISTS, INC
16706 CHILLICOTHE RD STE 500
CHAGRIN FALLS, OH44023-4573
 Phone: 440-708-0020
 Fax: 440-708-0302
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CHAGRIN VALLEY OPTOMETRISTS, INC

NPI # 1548443302
LBN Legal business name CHAGRIN VALLEY OPTOMETRISTS, INC
Authorized official SUSAN WILSON - (BILLING)
Entity Organization
Organization subpart 1 No
Enumeration date 12/14/2007
Last updated 11/18/2025 - About 7 months ago
Identifiers
OH License # 3865
OH Other 000000228073 ANTHEM
OH Other 2529900 UNTED HEALTHCARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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