Individual
JASON ROBERT MARCELLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9571 VISTA WAY, GARFIELD HEIGHTS, OH 44125-5322
(216) 663-4060
Mailing address
564 MARSH WAY, BRUNSWICK, OH 44212
(440) 785-2267
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OH5226
OH
Other
Enumeration date
09/15/2006
Last updated
08/13/2009
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