Organization
CLINT PAXSON O.D. LLC
Active
Organization
CLINT PAXSON O.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINT D PAXSON O.D. (OWNER)
(440) 944-8333
Entity
Organization
Contact information
Practice address
28112 CHARDON RD, WILLOUGHBY HILLS, OH 44092-2710
(440) 944-8333
(440) 944-3632
Mailing address
28112 CHARDON RD, WILLOUGHBY HILLS, OH 44092-2710
(440) 944-8333
(440) 944-3632
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5566 T2480
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2630111
—
OH
Enumeration date
05/03/2006
Last updated
06/11/2012
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