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Organization
EXCELLENCE IN EYE CARE
Active
Organization
EXCELLENCE IN EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN HARRIS (ADMINISTRATOR)
(330) 722-1313
Entity
Organization
Contact information
Practice address
3609 MEDINA RD, MEDINA, OH 44256-8181
(330) 722-1313
(330) 723-3003
Mailing address
3609 MEDINA RD, MEDINA, OH 44256-8181
(330) 722-1313
(330) 723-3003
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00638575
RAILROAD MEDICARE
—
Enumeration date
05/18/2006
Last updated
10/09/2012
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