| |
450 Avon Belden Rd, Avon Lake, OH 44012-2282 | |
(440) 933-8300 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Eyewear Supplier |
Location | 450 Avon Belden Rd, Avon Lake, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104334226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Ohio) | Secondary |
332H00000X | Eyewear Supplier | (Ohio) | Primary |
Mailing Address | Practice Location Address |
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6801 Brecksville Rd, Suite 20, Rk2-7, Independence, OH 44131-5062 Ph: (216) 636-4969 | 450 Avon Belden Rd, Avon Lake, OH 44012-2282 Ph: (440) 933-8300 |