Individual
MRS. CAROL ANN MISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7079 AVON BELDEN RD, NORTH RIDGEVILLE, OH 44039-3774
(440) 327-2020
(440) 327-5174
Mailing address
7079 AVON BELDEN RD, NORTH RIDGEVILLE, OH 44039-3774
(440) 327-2020
(440) 327-5174
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3430
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0400926
—
OH
01
—
410049138
RAILROAD MEDICARE
OH
01
—
4640970001
ADMINISTAR FEDERAL IMERC
OH
Enumeration date
05/03/2006
Last updated
01/28/2020
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