Organization
DR JOHN R SMITH AND ASSOCIATES PROFESSIONAL CORP
Active
Organization
DR JOHN R SMITH AND ASSOCIATES PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R SMITH OD (PRESIDENT)
(440) 324-4557
Entity
Organization
Contact information
Practice address
4690 MIDWAY MALL, ELYRIA, OH 44035-2469
(440) 324-4557
Mailing address
4690 MIDWAY MALL, ELYRIA, OH 44035-2469
(440) 324-4557
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4146T114
OH
Other
Enumeration date
01/09/2006
Last updated
08/22/2020
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