Individual
ALICIA D FORD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
10128 SAINT CLAIR AVE, CLEVELAND, OH 44108-1963
(216) 541-3359
Mailing address
10128 SAINT CLAIR AVE, CLEVELAND, OH 44108-1963
(216) 541-3359
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0374081
—
OH
Enumeration date
06/08/2006
Last updated
07/08/2007
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