Organization
BRECKSVILLE OPTICIANS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER B PARIS L.D.O. (PROPRIETOR OPTICIAN)
(440) 526-5565
Entity
Organization
Contact information
Practice address
7640 CHIPPEWA RD, BRECKSVILLE, OH 44141-2310
(440) 526-5565
Mailing address
7640 CHIPPEWA RD, BRECKSVILLE, OH 44141-2310
(440) 526-5565
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
4818SC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17173
KAISER
OH
01
—
BR299568
CLARITY
OH
01
—
OH5029
EYEMED
OH
Enumeration date
01/11/2007
Last updated
12/11/2012
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