Organization
PHILIP SKOVIRA OD INC
Active
Organization
PHILIP SKOVIRA OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP SKOVIRA OD (PRESIDENT)
(440) 544-1351
Entity
Organization
Contact information
Practice address
1409 GOLDEN GATE BLVD, MAYFIELD HTS, OH 44124
(440) 544-1351
Mailing address
6513 GATES MILLS BLVD, MAYFIELD HTS, OH 44124
(440) 442-5745
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3375 T 653
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0380574
—
OH
Enumeration date
03/20/2007
Last updated
08/22/2020
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