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Individual

JAMES W KERSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
26777 LORAIN RD STE 203, NORTH OLMSTED, OH 44070-3226
(440) 333-3060
Mailing address
26777 LORAIN RD STE 203, NORTH OLMSTED, OH 44070-3226
(440) 333-3060

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3130 T510
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000152225
ANTHEM BLUE CROSS & BLUE
OH
01
341178696-00
BWC
OH
01
410047174
RAILROAD MEDICARE
OH
01
6561961
CIGNA
OH
01
7230742
AETNA
OH
Enumeration date
07/26/2006
Last updated
03/02/2017
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