Individual
JEFFREY M AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6960 SOUTH EDGERTON ROAD, BRECKSVILLE, OH 44141
(440) 740-0400
Mailing address
2740 CARNEGIE AVE, CLEVELAND, OH 44115-2627
(216) 621-6132
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4170T24
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0865710
—
OH
Enumeration date
12/27/2007
Last updated
12/27/2007
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