North Coast Optical

NPI 1013116201 - Optometrist - 152W00000X

NPI Details
NPI 1013116201
Enumeration Date 07/17/2007
Last Updated 12/03/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARK A MARK
Position OWNER
Phone (440) 428-2172
Fax (440) 428-8677
Practice Location
6380 N RIDGE RD
MADISON OH, 44057-2548, US
Phone (440) 428-2172
Fax (440) 428-8677
Business Location
6380 N RIDGE RD
MADISON OH, 44057-2548, US
Phone (440) 428-2172
Fax (440) 428-8677
Toxanomy
Taxonomy Code 152W00000X
License State Ohio
License Number 4001
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According to our database, North Coast Optical NPI is 1013116201, taxonomy code is 152W00000X and license number is 4001, license state is located at Ohio. North Coast Optical physically located at 6380 N Ridge Rd, Madison OH, 44057-2548. NPI Number 1033115704 has the healthcare provider type.

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1013116201 NPI number is provided on an as is basis without warranty of any kind. 1013116201 is maintained by the National Plan & Provider Enumeration System. The contents of North Coast Optical are for informational purposes only.