Organization
DR. JOHN J DEVITO INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JOSEPH DEVITO OD (PRESIDENT)
(330) 493-9803
Entity
Organization
Contact information
Practice address
3703 CLEVELAND AVE NW, CANTON, OH 44709-2315
(330) 493-9803
(330) 493-9804
Mailing address
3703 CLEVELAND AVE NW, CANTON, OH 44709-2315
(330) 493-9803
(330) 493-9804
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4094/T86
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0765319
—
OH
Enumeration date
03/21/2008
Last updated
08/06/2012
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