Individual
DR. JON A KLINE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7351 LAKE SHORE BLVD, MENTOR, OH 44060-3552
(440) 257-4311
(440) 257-0666
Mailing address
7351 LAKE SHORE BLVD, MENTOR, OH 44060-3552
(440) 257-4311
(440) 257-0666
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2986 T748
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0224886
—
OH
Enumeration date
01/09/2006
Last updated
07/09/2007
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