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Summit Family Vision LLC

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

NPI number1962065672
StatusActive
Last updated in NPPESJun 11, 2019

Details

NPI
1962065672
Entity type
Organization (NPI-2)
Legal business name
Summit Family Vision LLC
Organization subpart
No
Enumeration date
Apr 17, 2019
Last updated
Jun 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes

Practice location

3265 W Market St
Fairlawn, OH 44333-3337

Phone 330-836-2200 · Fax 866-425-2239

Mailing address

Po Box 880
Hudson, OH 44236-5880

Phone 330-697-4748 · Fax 866-425-2239

Authorized official

Richard E Hults
Prsident
3306974748

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