Organization
PHILIP SKOVIRA OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP SKOVIRA OD (OPTOMETRIST)
(440) 442-5745
Entity
Organization
Contact information
Practice address
35804 DETROIT RD, AVON, OH 44011-1681
(440) 442-5745
Mailing address
6513 GATES MILLS BLVD, MAYFIELD HEIGHTS, OH 44124-4221
(440) 930-0101
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3375T653
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0380574
—
OH
Enumeration date
01/02/2008
Last updated
01/02/2008
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