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Organization
WHITESTAR PROFESSIONAL CORPORATION
Active
Organization
WHITESTAR PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL WHITE (OWNER)
(440) 892-3931
Entity
Organization
Contact information
Practice address
2237 CROCKER RD, SUITE 100, WESTLAKE, OH 44145-6789
(440) 892-3931
Mailing address
2237 CROCKER RD, SUITE 100, WESTLAKE, OH 44145-6789
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
03/27/2006
Last updated
06/25/2008
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