Individual
ELI DRAGISICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4100 JOHNSON RD, SUITE 204, STEUBENVILLE, OH 43952-2356
(740) 283-3937
Mailing address
4100 JOHNSON RD, SUITE 204, STEUBENVILLE, OH 43952-2356
(740) 283-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
599OD
WV
152W00000X
Optometrist
Primary
6277
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150189000
—
WV
01
—
6277
OHIO LICENSE
OH
Enumeration date
09/28/2006
Last updated
09/16/2015
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