Individual
DR. CINDY ANN PEZO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
6433 MONROE ST, SYLVANIA, OH 43560-1451
(419) 885-5373
(419) 885-0504
Mailing address
6433 MONROE ST, SYLVANIA, OH 43560-1451
(419) 885-5373
(419) 885-0504
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4076
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000138637
ANTHEM BLUE CROSS
OH
01
—
03384
PARAMOUNT ID
OH
01
—
341783865-001
MEDICAL MUTUAL
OH
Enumeration date
06/23/2005
Last updated
07/08/2007
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