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Abdul Qotaynah O.D., INC.

Optometrist in Mentor, OH. Organization (NPI-2).

NPI number1740318542
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1740318542
Entity type
Organization (NPI-2)
Legal business name
Abdul Qotaynah O.D., INC.
Organization subpart
No
Enumeration date
Mar 1, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist5148 T2047OHYes

Practice location

7850 Mentor Ave
Suite 368
Mentor, OH 44060-5520

Phone 440-974-6793 · Fax 440-974-6621

Mailing address

7850 Mentor Ave
Suite 368
Mentor, OH 44060-5520

Phone 440-974-6793 · Fax 440-974-6621

Authorized official

Abdulwahed Hamoud Qotaynah
Owner
4409746793

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