Provider Demographics
NPI:1285250886
Name:BRIDGET MCMURRAY, OD LLC
Entity type:Organization
Organization Name:BRIDGET MCMURRAY, OD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:OD, MS
Authorized Official - Phone:216-781-7900
Mailing Address - Street 1:800 HURON RD E
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44115-1121
Mailing Address - Country:US
Mailing Address - Phone:216-781-7900
Mailing Address - Fax:440-368-0343
Practice Address - Street 1:14553 MADISON AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-4325
Practice Address - Country:US
Practice Address - Phone:216-227-2020
Practice Address - Fax:440-368-0343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-19
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty