Individual
PROF. ROBERT WALDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8900 MENTOR AVE, SUITE B, MENTOR, OH 44060-7304
(440) 255-7727
Mailing address
8030 AILEEN DR, MENTOR, OH 44060-7304
(440) 255-6039
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3382T1193
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056572
—
OH
Enumeration date
01/24/2007
Last updated
05/01/2012
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