Organization
FEC MOBILE EYE CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN J KANE O.D. (OWNER)
(440) 946-8758
Entity
Organization
Contact information
Practice address
7200 MENTOR AVE, SUITE A, MENTOR, OH 44060-7522
(440) 946-8758
(440) 946-0023
Mailing address
7200 MENTOR AVE, SUITE A, MENTOR, OH 44060-7522
(440) 946-8758
(440) 946-0023
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2312812
—
OH
Enumeration date
07/20/2007
Last updated
12/08/2014
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