| |
36505 Detroit Rd, Avon, OH 44011-1509 | |
(440) 934-5816 | |
(440) 934-4678 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 36505 Detroit Rd, Avon, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669805164 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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7001 S Edgerton Rd, Suite B, Brecksville, OH 44141-4206 Ph: (440) 550-4231 | 36505 Detroit Rd, Avon, OH 44011-1509 Ph: (440) 934-5816 |