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Organization
EYE BONE, LLC
Active
Organization
EYE BONE, LLC
Active
Other names
Chardon Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUGUSTINE JOHN KELLIS MD (PRESIDENT)
(440) 285-2900
Entity
Organization
Contact information
Practice address
150 SEVENTH AVE, CHARDON, OH 44024-2908
(440) 285-2900
(440) 286-2905
Mailing address
150 SEVENTH AVE, CHARDON, OH 44024-2908
(440) 285-2900
(440) 286-2905
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
0979AS
OH
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PENDING
OH
Other
Enumeration date
06/04/2010
Last updated
04/25/2023
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