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Organization

DISTINCTIVE EYEWEAR INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JENNIFER LYNN MENTESSI O.D. (PRESIDENT)
(440) 877-2020
Entity
Organization

Contact information

Practice address
5690 WALLINGS RD, NORTH ROYALTON, OH 44133-3044
(440) 877-2020
(440) 877-9531
Mailing address
5690 WALLINGS RD, NORTH ROYALTON, OH 44133-3044
(440) 877-2020
(440) 877-9531

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5054
OH
156FX1800X
Optician
OH

Other

Enumeration date
07/02/2007
Last updated
01/13/2016
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