Organization
PARKCREST OPTICAL COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ERIKSEN MD (OWNER)
(419) 385-2361
Entity
Organization
Contact information
Practice address
3715 AIRPORT HWY, TOLEDO, OH 43615-7173
(419) 385-2361
(419) 385-7460
Mailing address
3715 AIRPORT HWY, TOLEDO, OH 43615-7173
(419) 385-2361
(419) 385-7460
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
48141341
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2732814
—
OH
Enumeration date
03/31/2008
Last updated
02/11/2011
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