Individual
GREGORY S SASARAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
280 S LOGAN ST, ELYRIA, OH 44035-6224
(440) 365-9311
Mailing address
280 S LOGAN ST, ELYRIA, OH 44035-6224
(440) 365-9311
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5592
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2642840
—
OH
Enumeration date
11/30/2006
Last updated
07/08/2007
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