| |
1484 State Route 46 N, Jefferson, OH 44047-8145 | |
(440) 624-4222 | |
(440) 624-4232 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 1484 State Route 46 N, Jefferson, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1376836379 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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1484 State Route 46 North, Jefferson, OH 44047 Ph: (440) 624-4222 | 1484 State Route 46 N, Jefferson, OH 44047-8145 Ph: (440) 624-4222 |