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Organization
NORTHEASTERN EYE CENTER INC
Active
Organization
NORTHEASTERN EYE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY ROZAKIS (CFO)
(440) 777-2667
Entity
Organization
Contact information
Practice address
29111 CENTER RIDGE RD, WESTLAKE, OH 44145-5222
(440) 777-2667
Mailing address
892 BEACH RD, LAKEWOOD, OH 44107-1018
(440) 777-2667
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35055038
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0655189
—
OH
Enumeration date
08/20/2008
Last updated
10/12/2011
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