Individual
BETH A YODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
28112 CHARDON RD, WICKLIFFE, OH 44092-2710
(440) 944-8333
Mailing address
3017 HATTERAS WAY, AVON, OH 44011-2198
(440) 934-2705
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5108
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2271563
—
OH
Enumeration date
09/17/2006
Last updated
07/08/2007
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