Individual
MARILYN L. GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
100 PARKER CT, CHARDON, OH 44024
(440) 286-9555
(440) 286-6135
Mailing address
100 PARKER CT, CHARDON, OH 44024
(440) 286-9555
(440) 286-6005
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3076
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000132357
ANTHEM
—
05
—
0257190
—
OH
Enumeration date
05/04/2006
Last updated
11/19/2015
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