Individual
DR. JOHN MICHAEL PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
12794 ROYALTON RD, NORTH ROYALTON, OH 44133-4229
(440) 237-6964
(440) 237-4605
Mailing address
12794 ROYALTON RD, NORTH ROYALTON, OH 44133-4229
(440) 237-6964
(440) 237-4605
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4675 T1450
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0204853
—
OH
Enumeration date
03/20/2006
Last updated
03/19/2008
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