See INC
Optometrist in Shaker Heights, OH. Organization (NPI-2).
NPI number1669959458
StatusActive
Last updated in NPPESJul 24, 2018
Details
- NPI
- 1669959458
- Entity type
- Organization (NPI-2)
- Legal business name
- See INC
- Organization subpart
- No
- Enumeration date
- Jul 24, 2018
- Last updated
- Jul 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
3436 Tuttle RdShaker Heights, OH 44122-1864
Phone 216-954-3800 · Fax 216-954-3805
Mailing address
19800 W 8 Mile RdSouthfield, MI 48075-5730
Phone 245-354-7100 · Fax 245-353-1603
Authorized official
Mary E Walker
Group Billing Manager
2483547100
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