Organization
PROFESSIONAL OPTICAL CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY C RIFFLE MD (AUTHORIZED OFFICIAL)
(440) 974-9449
Entity
Organization
Contact information
Practice address
9485 MENTOR AVE, STE111, MENTOR, OH 44060-4597
(440) 974-9449
(440) 255-1550
Mailing address
9485 MENTOR AVE, STE111, MENTOR, OH 44060-4597
(440) 974-9449
(440) 255-1550
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
43048581
OH
Other
Enumeration date
02/28/2007
Last updated
12/04/2012
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