Organization
NORTHEAST OHIO OPTOMETRIC SERVICES AND CONTACT LENS SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA JEANNE CREATURA O.D. (PRESIDENT)
(216) 321-0811
Entity
Organization
Contact information
Practice address
3547 MIDWAY MALL, EYEMASTERS, ELYRIA, OH 44035-2458
(440) 324-9779
Mailing address
3770 NORTHWOOD RD, UNIVERSITY HEIGHTS, OH 44118-3738
(216) 321-0811
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4337 T909
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0936491
—
OH
Enumeration date
07/13/2010
Last updated
07/13/2010
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