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Organization

NORTHEASTERN EYE CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BETTY ROZAKIS (CFO)
(440) 777-2667
Entity
Organization

Contact information

Practice address
29111 CENTER RIDGE RD, WESTLAKE, OH 44145-5222
(440) 777-2667
Mailing address
892 BEACH RD, LAKEWOOD, OH 44107-1018
(440) 777-2667

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35055038
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0655189
OH
Enumeration date
08/20/2008
Last updated
10/12/2011
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