Organization
EXCEPTIONAL EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
S SMITH DO (OWNER AND CEO)
(216) 393-1973
Entity
Organization
Contact information
Practice address
9701 LORAIN AVE, CLEVELAND, OH 44102-4753
(216) 393-1973
(216) 920-9998
Mailing address
PO BOX 1873, MEDINA, OH 44258-1873
(216) 393-1973
(216) 920-9998
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
SC. 7149
OH
156FC0801X
Contact Lens Fitter
SC. 7149
OH
156FX1800X
Optician
Primary
SC. 7149
OH
Other
Enumeration date
02/07/2013
Last updated
04/16/2024
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