Organization
BELMONT EYE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE J LISOTTO R.N. (ADMINISTRATIVE DIRECTOR)
(330) 759-7672
Entity
Organization
Contact information
Practice address
3020 BELMONT AVE, YOUNGSTOWN, OH 44505-1846
(330) 759-7672
(330) 759-4768
Mailing address
3020 BELMONT AVE, YOUNGSTOWN, OH 44505-1846
(330) 759-7672
(330) 759-4768
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0832228
—
OH
Enumeration date
11/03/2006
Last updated
05/02/2008
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