Organization
OHIO OPTOMETRIC CONSULTANTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM B KELLER O.D. (OWNER)
(330) 653-8500
Entity
Organization
Contact information
Practice address
126 W STREETSBORO ST, HUDSON, OH 44236-2720
(330) 653-8500
Mailing address
126 W STREETSBORO ST, HUDSON, OH 44236-2720
(330) 653-8500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4292
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC5592
RAIL ROAD MEDICARE
OH
Enumeration date
04/25/2007
Last updated
11/05/2008
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