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Organization

WESTGATE OPTOMETRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD E. HULTS O.D. (PRESIIIDENT)
(330) 697-4748
Entity
Organization

Contact information

Practice address
3580 WESTGATE, FAIRVIEW PARK, OH 44126-1300
(440) 356-4020
(866) 425-2239
Mailing address
3580 WESTGATE, FAIRVIEW PARK, OH 44126-1300
(440) 356-4020
(866) 425-2239

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OH3420
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
Enumeration date
12/18/2014
Last updated
04/03/2015
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