Organization
NORTHEAST OHIO OPTOMETRIC SERVICES AND CONTACT LENS SUPPLY
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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