Organization
GREAT LAKES EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MATTHEW BOZIC O.D. (PRESIDENT)
(440) 953-2020
Entity
Organization
Contact information
Practice address
7348 MENTOR AVE, MENTOR, OH 44060-7543
(440) 953-2020
(440) 953-2030
Mailing address
7348 MENTOR AVE, MENTOR, OH 44060-7543
(440) 953-2020
(440) 953-2030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5461
OH
Other
Enumeration date
02/06/2007
Last updated
09/14/2007
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