| Christopher Lynn Daugherty, MD | |
|
36100 Euclid Ave Ste 450, Willoughby, OH 44094-4488 | |
| (440) 946-9555 | |
| (440) 956-2223 |
| Full Name | Christopher Lynn Daugherty |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 12 Years |
| Location | 36100 Euclid Ave Ste 450, Willoughby, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770926818 | NPI | - | NPPES |
| H582530 | Other | OH | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 35.131791 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Health | Concord, OH | Hospital |
| University Hospitals Of Cleveland | Cleveland, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Hospitals Medical Group Inc | 4789682493 | 1735 |
| Entity Name | Lake Hospital System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952339996 PECOS PAC ID: 6002713922 Enrollment ID: O20031217000963 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Entity Name | University Hospitals Cleveland Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043747454 PECOS PAC ID: 3274431879 Enrollment ID: O20170728000888 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Lynn Daugherty, MD 36000 Euclid Ave # Mso, Willoughby, OH 44094-4625 Ph: (440) 953-6082 | Christopher Lynn Daugherty, MD 36100 Euclid Ave Ste 450, Willoughby, OH 44094-4488 Ph: (440) 946-9555 |
Dr. James Scott Lane, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5105 Som Center Rd, Willoughby, OH 44094 Phone: 216-524-7377 Fax: 440-975-4667 | |
Dr. Bruce Robert Jacobson, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 36100 Euclid Ave, Suite 450, Willoughby, OH 44094 Phone: 440-946-9555 Fax: 440-946-2223 | |
Bernard D Perla, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 36100 Euclid Ave, Ste 450, Willoughby, OH 44094 Phone: 440-946-9555 Fax: 440-946-2223 |