Organization
SOPHIA K. FOTINOS O.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA FOTINOS O.D. (DOCTOR OF OPTOMETRY)
(216) 227-2020
Entity
Organization
Contact information
Practice address
14553 MADISON AVE, LAKEWOOD, OH 44107-4325
(216) 227-2020
Mailing address
30233 CENTER RIDGE RD, WESTLAKE, OH 44145-5130
(440) 829-4295
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6197
OH
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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