| |
5001 Rockside Rd, Independence, OH 44131-2172 | |
(216) 986-4330 | |
(216) 986-4904 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 5001 Rockside Rd, Independence, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619551025 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
6801 Brecksville Rd Mail, Mail Code: Rk2-7, Independence, OH 44131-5062 Ph: (216) 636-8926 | 5001 Rockside Rd, Independence, OH 44131-2172 Ph: (216) 986-4330 |