Individual
DR. LES S ROSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
26041 LORAIN RD, NORTH OLMSTED, OH 44070-2739
(440) 777-8686
(440) 777-8689
Mailing address
26041 LORAIN RD, NORTH OLMSTED, OH 44070-2739
(440) 777-8686
(440) 777-8689
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3265
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000132612
ANTHEM BC/BS
OH
05
—
0471958
—
OH
01
—
341486219
ANTARES
OH
01
—
580001910
MEDICARE RAILROAD
OH
Enumeration date
03/16/2006
Last updated
04/29/2008
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