Organization
MODERN HERITAGE EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAHRAIN SHASTEEN OD (OWNER)
(419) 873-7446
Entity
Organization
Contact information
Practice address
5150 CHAPPEL DR, PERRYSBURG, OH 43551-7256
(419) 873-7446
Mailing address
5150 CHAPPEL DR, PERRYSBURG, OH 43551-7256
(419) 873-7446
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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