The Eye Source

NPI 1275892994 - Optometrist - 152W00000X

NPI Details
NPI 1275892994
Enumeration Date 05/15/2012
Last Updated 05/15/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name CYNTHIA E CYNTHIA
Position OFFICE MANAGER
Phone (330) 422-1111
Fax (330) 422-1110
Practice Location
9424 STATE ROUTE 14
STREETSBORO OH, 44241-5226, US
Phone (330) 422-1111
Fax (330) 422-1110
Business Location
9424 STATE ROUTE 14
STREETSBORO OH, 44241, US
Phone (330) 422-1111
Fax (330) 422-1110
Toxanomy
Taxonomy Code 152W00000X
License State Ohio
License Number 6012
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According to our database, The Eye Source NPI is 1275892994, taxonomy code is 152W00000X and license number is 6012, license state is located at Ohio. The Eye Source physically located at 9424 State Route 14, Streetsboro OH, 44241-5226. NPI Number 1033115704 has the healthcare provider type.

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1275892994 NPI number is provided on an as is basis without warranty of any kind. 1275892994 is maintained by the National Plan & Provider Enumeration System. The contents of The Eye Source are for informational purposes only.