Individual
DR. J LARRY SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
511 E MAPLE ST, NORTH CANTON, OH 44720-2600
(330) 499-6638
Mailing address
191 WINSTON AVE NE, NORTH CANTON, OH 44720-2655
(330) 499-6638
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2839
OH
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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