Organization
THE EYE SOURCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA E RIPKIN (OFFICE MANAGER)
(330) 422-1111
Entity
Organization
Contact information
Practice address
9424 STATE ROUTE 14, STREETSBORO, OH 44241-5226
(330) 422-1111
(330) 422-1110
Mailing address
9424 STATE ROUTE 14, STREETSBORO, OH 44241
(330) 422-1111
(330) 422-1110
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6012
OH
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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