Organization
GEORGE E ATANASOFF OD INC
Active
Organization
GEORGE E ATANASOFF OD INC
Active
Other names
Eye & VIsion Center
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE ELLIOTT ATANASOFF OD (PRESIDENT)
(330) 666-6789
Entity
Organization
Contact information
Practice address
11925 PEARL RD, STE 104, STRONGSVILLE, OH 44136
(440) 238-7865
(440) 238-3888
Mailing address
11925 PEARL RD, STE 104, STRONGSVILLE, OH 44136
(440) 238-7865
(440) 238-3888
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4264T023
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0459150
—
OH
01
—
0820960001
DMERC
—
Enumeration date
02/22/2006
Last updated
08/22/2020
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