Provider Demographics
NPI:1114423563
Name:DARRAH, ALYSSA MARY (MD)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:MARY
Last Name:DARRAH
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7003 PEARL RD STE 200
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-4941
Mailing Address - Country:US
Mailing Address - Phone:403-333-3060
Mailing Address - Fax:
Practice Address - Street 1:7003 PEARL RD STE 200
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-4941
Practice Address - Country:US
Practice Address - Phone:403-333-3060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.145088207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology