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Dr. Michael Joseph Kacere Jr., O.D.

Optometrist in Wooster, OH. Individual provider (NPI-1).

NPI number1013022011
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1013022011
Entity type
Individual (NPI-1)
Name
Dr. Michael Joseph Kacere Jr.
Credential
O.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 20, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist3806/T1491OHYes

Practice location

3883 Burbank Rd
Wooster, OH 44691-7220

Phone 330-345-8641 · Fax 330-345-8331

Mailing address

3883 Burbank Rd
Wooster, OH 44691-7220

Phone 330-345-8641 · Fax 330-345-8331

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