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Organization

CLEARVIEW EYE CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KWEKU MICAH O.D. (PRESIDENT)
(513) 488-9157
Entity
Organization

Contact information

Practice address
6180 GLENWAY AVE, UNIT H, CINCINNATI, OH 45211-6320
(513) 662-0157
(513) 389-3396
Mailing address
PO BOX 688, WEST CHESTER, OH 45071-0688

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5732
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3005116
OH
Enumeration date
04/12/2010
Last updated
01/22/2015
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