Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ophthalmology & Oculoplastic Surgery Inc

Organization Optometrist · NPI 1073713400

Ophthalmology & Oculoplastic Surgery Inc is an Optometrist in Chardon, Ohio. Licensed in Ohio. Registered with an NPI since 2007.

Licensed in
OH
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

150 7th Ave Ste 100
Chardon, OH 44024-2908
Phone: (440) 285-2020
Fax: (440) 285-8448
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 35060480 (OH)
Optometrist Taxonomy 152W00000X · Licence 5012T188 (OH)

Record details

NPI number1073713400
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Candice Davis — Chief Revenue Cycle Officer · (916) 990-7590
Other names Kellis Eye And Laser Center
NPI enumeratedJuly 24, 2007
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026
Mailing address150 7th Ave Ste 100, Chardon, OH 44024-2909

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