Provider Demographics
NPI:1689363061
Name:OBERMEIER, CAROLINE ELIZABETH (OD)
Entity type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:ELIZABETH
Last Name:OBERMEIER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:3777 NICHOLS RD
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-9299
Mailing Address - Country:US
Mailing Address - Phone:330-461-4552
Mailing Address - Fax:
Practice Address - Street 1:2740 CARNEGIE AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44115-2627
Practice Address - Country:US
Practice Address - Phone:216-621-6132
Practice Address - Fax:216-621-2803
Is Sole Proprietor?:No
Enumeration Date:2023-05-02
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOPT.007234152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist