Provider Demographics
NPI:1548263007
Name:VENDELAND, JAMES LEE (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LEE
Last Name:VENDELAND
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5 SEVERANCE CIR
Mailing Address - Street 2:STE 112
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-1513
Mailing Address - Country:US
Mailing Address - Phone:216-381-7506
Mailing Address - Fax:216-381-9025
Practice Address - Street 1:5 SEVERANCE CIR
Practice Address - Street 2:STE 112
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-1513
Practice Address - Country:US
Practice Address - Phone:216-381-7506
Practice Address - Fax:216-381-9025
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-27
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
OH35028411V207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0165762Medicaid
OHA73618Medicare UPIN
OH0165762Medicaid