CLEVELAND CLINIC PARK AVE WEST
NPI 1568458925
Optometrist in Mansfield, OH

Q: What is The Cleveland Clinic Foundation's NPI number?

The NPI number for The Cleveland Clinic Foundation is 1568458925. It was assigned to this organization in the NPPES registry on September 21, 2005. The provider is doing business as Cleveland Clinic Park Ave West.

Q: What is The Cleveland Clinic Foundation's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since September 21, 2005

484 PARK AVE W, MANSFIELD, OH 44906(419) 525-0330(419) 994-2612 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 6, 2022, Oct 29, 2019, Oct 2, 2019 and 2 more (5 updates tracked since 2017).

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About Cleveland Clinic Park Ave West NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEVELAND CLINIC PARK AVE WEST (NPI 1568458925) is a healthcare organization registered as an optometrist in Mansfield, Ohio and active in the NPI registry since September 2005. The organization lists Timothy L. Longville, Chief Acct Officer And Controller, as its authorized official.

NPPES Registry Identity

NPI1568458925

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameTHE CLEVELAND CLINIC FOUNDATION

Location Address484 PARK AVE WMansfield, OH 44906-3118

Mailing Address6801 Brecksville Rd Ste 20Independence, OH 44131-5062 · (216) 636-4969 · Fax (216) 442-1272

Phone(419) 525-0330

Fax(419) 994-2612

Organization SubpartNo

Authorized OfficialTimothy L. LongvilleChief Acct Officer And Controller · (216) 636-7416

Enumeration DateSeptember 21, 2005

Last NPPES UpdateMarch 31, 20225 updates tracked since enumeration

NPPES CertifiedMarch 31, 2022

✔ NPI 1568458925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

484 PARK AVE W, Mansfield, OH 44906

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Other Names 1

Doing Business AsCleveland Clinic Park Ave West

Other Identifiers 1

Medicaid0899569OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JON H COOPERRIDER II O.D.

Optometrist

484 PARK AVE W
MANSFIELD, OH 44906

Richland County (419) 525-0330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Cleveland Clinic Foundation's NPI number?

The NPI number for The Cleveland Clinic Foundation is 1568458925. It was assigned to this organization in the NPPES registry on September 21, 2005. The provider is doing business as Cleveland Clinic Park Ave West.

Where is The Cleveland Clinic Foundation located?

The Cleveland Clinic Foundation is located at 484 Park Ave W, Mansfield, OH 44906. The listed phone number is (419) 525-0330.

What is The Cleveland Clinic Foundation's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for The Cleveland Clinic Foundation was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.