Individual
DR. PHILLIP JOHN MICHALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10680 LORAIN AVE, CLEVELAND, OH 44111-5411
(216) 671-2998
(216) 671-6985
Mailing address
16400 HILLIARD RD, LAKEWOOD, OH 44107-5610
(216) 228-1800
(216) 228-1162
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3426
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0324232
—
OH
Enumeration date
07/06/2006
Last updated
07/20/2017
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