Organization
MICHAEL E. ROM, M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E ROM MD (PRESIDENT)
(440) 286-1188
Entity
Organization
Contact information
Practice address
9485 MENTOR AVE STE 200, MENTOR, OH 44060-8723
(440) 286-1188
(440) 286-1221
Mailing address
9485 MENTOR AVE STE 200, MENTOR, OH 44060-8723
(440) 286-1188
(440) 286-1221
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35061162
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000168065
ANTHEM BLUE CROSS BLUE SHIELD
OH
Enumeration date
05/20/2008
Last updated
02/25/2025
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