| |
26777 Lorain Rd Ste 203, North Olmsted, OH 44070-3226 | |
(440) 734-4777 | |
(440) 734-0555 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 26777 Lorain Rd Ste 203, North Olmsted, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487193652 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
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21375 Lorain Rd, Fairview Park, OH 44126-2122 Ph: (440) 333-3060 | 26777 Lorain Rd Ste 203, North Olmsted, OH 44070-3226 Ph: (440) 734-4777 |